Provider Demographics
NPI:1447623038
Name:MEADS, BRANDI NICOLE (CRNP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:NICOLE
Last Name:MEADS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 HILLYER ROBINSON INDUSTRIAL PKWY S
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1305
Mailing Address - Country:US
Mailing Address - Phone:256-419-0805
Mailing Address - Fax:256-419-0812
Practice Address - Street 1:1622 HILLYER ROBINSON INDUSTRIAL PKWY S
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1305
Practice Address - Country:US
Practice Address - Phone:256-419-0805
Practice Address - Fax:256-419-0812
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-091535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily