Provider Demographics
NPI:1104208990
Name:EDWARDS, MEGAN SARAH (FNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:SARAH
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:SARAH
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8501 WADE BLVD
Mailing Address - Street 2:310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5894
Mailing Address - Country:US
Mailing Address - Phone:972-427-3570
Mailing Address - Fax:972-596-6006
Practice Address - Street 1:8501 WADE BLVD
Practice Address - Street 2:310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5894
Practice Address - Country:US
Practice Address - Phone:972-427-3570
Practice Address - Fax:972-596-0066
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX814366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily