Individual
MEREDITH H COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N STATE ST # LL-10, JACKSON, MS 39202
(601) 362-7280
(601) 362-8116
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 428-8311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R870674
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06276379
—
MS
Enumeration date
10/11/2006
Last updated
08/21/2018
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