Men & Womens Premier Health Solutions PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-2900 Issued in TN

Legal business name

MEN & WOMENS PREMIER HEALTH SOLUTIONS PA

Practice address

3410 E Johnson Ave Ste T
Jonesboro, AR 72401-1876

Phone

(870) 333-5488

Fax

(870) 333-5442

NPI assigned

May 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tanya Lynn Fitzgerald

Title

Administrative Manager

Phone

(870) 333-5488

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1003343864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E JOHNSON AVE STE T",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011876",
            "telephone_number": "870-333-5488",
            "fax_number": "870-333-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E JOHNSON AVE STE T",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011876",
            "telephone_number": "870-333-5488",
            "fax_number": "870-333-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN & WOMENS PREMIER HEALTH SOLUTIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "870-333-5488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "E-2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahbuba Hossain Meem, MD
• Sara Mehmood
• Melissa Halsell, LCSW, LLC
• Katherine D Mellow, APRN
• Memphis Vamc
• Corine Mennuti
• Samantha M Mercer, APRN
• Brayden William-Wray Merches, LAC
• Sarah Jansen Meredith, MCD, CCC-SLP
• Amy Lynn Merila Defries, NP

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.