Individual
KAMI MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
809 LAMONT ST., MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
142931
TN
363LF0000X
Family Nurse Practitioner
Primary
19924
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015017
—
TN
Enumeration date
04/03/2015
Last updated
07/11/2018
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