MRS. MEREDITH HARRISON BREWER (NPI# 1053650945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053650945 |
Entity Type | Individual |
Full Name | MRS. MEREDITH HARRISON BREWER |
Credential | PA-C |
Practice Address |
800 S Church St Ste 203 Jonesboro AR 72401 |
Mailing Address |
Po Box 1331 Jonesboro AR 72403-1331 |
Practice Telephone | 8703360277 |
Practice Fax Number | 8709325699 |
Mailing Telephone | 8703360277 |
Mailing Fax Number | 8709325699 |
Enumeration Date | 2013-02-12 |
Last Update Date | 2018-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-493 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4802 E Johnson Ave, Jonesboro, AR 724018413 | 8709368000 | 8709343623 |
Street Address |
800 S CHURCH ST STE 203 |
City | JONESBORO |
State | AR |
Zip Code | 72401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669776860 | Aric Wade Simmons | Nurse Practitioner | 800 S Church St Ste 203, Jonesboro, AR 72401-4106 | 2011-01-02 |
1306366885 | Doctors Health Group, Inc. | Dermatology | 800 S Church St Ste 203, Jonesboro, AR 72401-4106 | 2017-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
Find all providers in zip 72401 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250805 | Ashley Elizabeth Mclean | Physician Assistant | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-03-13 |
1063968022 | Rebecca Mcphail | Physician Assistant | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
1548629090 | Adam Lawson | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2016-02-12 |
1366801870 | Kirk Porter | Physician Assistant | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2016-02-12 |
1326419789 | Mandy Katheryn Mcnamara | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2015-10-12 |
1598153157 | Drew Weldon Harper | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-01-06 |
1346587599 | Maranda Elizabeth Nichols | Physician Assistant | 4334 E Highland Dr, Ste A, Jonesboro, AR 72401-6621 | 2013-01-08 |
1194025536 | Linda Nguyen | Physician Assistant | 300 Carson St, Jonesboro, AR 72401-3104 | 2010-11-02 |
1043311376 | Jerome A Maislis | Physician Assistant | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.