Provider Demographics
NPI:1972004026
Name:HARPER, MEREDITH CARRAWAY (NP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:CARRAWAY
Last Name:HARPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 S WILLIAM HOOKER DR
Mailing Address - Street 2:
Mailing Address - City:HOOKERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28538-7188
Mailing Address - Country:US
Mailing Address - Phone:252-747-2089
Mailing Address - Fax:252-747-2734
Practice Address - Street 1:516 S WILLIAM HOOKER DR
Practice Address - Street 2:
Practice Address - City:HOOKERTON
Practice Address - State:NC
Practice Address - Zip Code:28538-7188
Practice Address - Country:US
Practice Address - Phone:252-747-2089
Practice Address - Fax:252-747-2734
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty