Meredith B Fawver, NP
Individual provider Active NPI Family Nurse Practitioner · Clinton, TN
NPI 1649416652 · NPPES record last updated Jul 13, 2011
Key facts
- NPI
- 1649416652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14032 (TN)
- Practice address
- 121 Frank Diggs Road
Clinton, TN 37716 - Phone
- (865) 457-8840
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14032 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14032 | TN | Yes |
Addresses
Primary practice location
121 Frank Diggs Road
Clinton, TN 37716
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3706633 | Other | TN | MEDICARE GROUP |
Other providers in Clinton, TN
- Jennifer Nicole Everhart
- Everside Health Aisin Clinton
- Susan R Ewing
- Scott A Farmer
- Fast Pace Medical Clinic PLLC
- Joe Benny Fincher
- Elizabeth Fine
- Alison Foister
- Lori Miranda Fox
- Rickey Wade Garner Jr.
All providers in Clinton, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.