Doctor Name: | MERREDITH OAKES |
NPI Number: | 1144605148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ARNP2962012 |
Business Practice Address: | 7487 S State Road 121 Macclenny, FL - 320635451 |
Business Phone Number: | 9042596211 |
Business Fax Number: | 9042597116 |
Mailing Address: | 7487 S State Road 121, MACCLENNY |
State: | FL |
Postal Code: | 320635451 |
Phone Number: | 9042596211 |
Fax Number: | 9042597116 |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2962012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |