Individual
MRS. TANJA MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
417 W MAIN ST, TRUMANN, AR 72472-3116
(870) 483-1025
(870) 483-1057
Mailing address
417 W MAIN ST, TRUMANN, AR 72472-3116
(870) 483-1025
(870) 483-1057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A02930ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185659758
—
AR
Enumeration date
09/17/2006
Last updated
05/26/2021
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