Provider Demographics
NPI:1386986255
Name:FARLEY, MEAGAN BRITTANY (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:BRITTANY
Last Name:FARLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 E MATTHEWS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4331
Mailing Address - Country:US
Mailing Address - Phone:870-935-0700
Mailing Address - Fax:
Practice Address - Street 1:1701 CHILDRESS RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-7152
Practice Address - Country:US
Practice Address - Phone:615-427-4222
Practice Address - Fax:931-266-4740
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily