Provider Demographics
NPI:1487711131
Name:MEYER, JOANNA (APRN BC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 VETERANS MEMORIAL DR
Mailing Address - Street 2:P O BOX 729
Mailing Address - City:TELLICO PLAINS
Mailing Address - State:TN
Mailing Address - Zip Code:37385-5092
Mailing Address - Country:US
Mailing Address - Phone:423-253-7063
Mailing Address - Fax:423-253-2329
Practice Address - Street 1:500 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TELLICO PLAINS
Practice Address - State:TN
Practice Address - Zip Code:37385-5092
Practice Address - Country:US
Practice Address - Phone:423-253-7063
Practice Address - Fax:423-253-2329
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily