Provider Demographics
NPI:1871764522
Name:MEARNS, ANGELA S (FNP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:MEARNS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29718-8701
Mailing Address - Country:US
Mailing Address - Phone:833-658-3005
Mailing Address - Fax:843-658-7780
Practice Address - Street 1:409 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:SC
Practice Address - Zip Code:29718-8701
Practice Address - Country:US
Practice Address - Phone:336-583-0058
Practice Address - Fax:843-658-7780
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily