Provider Demographics
NPI:1992474217
Name:MEURER, JAMES BRADLEY (APRN-FAMILY)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRADLEY
Last Name:MEURER
Suffix:
Gender:M
Credentials:APRN-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 HILL PARK CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6251
Mailing Address - Country:US
Mailing Address - Phone:870-333-2725
Mailing Address - Fax:870-333-2720
Practice Address - Street 1:2231 HILL PARK CV
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6251
Practice Address - Country:US
Practice Address - Phone:870-333-2725
Practice Address - Fax:870-333-2720
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR216352207RR0500X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty