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NPI Profile for MEREDITH P GAITLEY in JACKSON, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
General Practice |
163WG0000X |
| NPI Number | 1811634835 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 05/19/2022 | |
| Last updated | 09/17/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MEREDITH P GAITLEY
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MEREDITH P GAITLEY, FNP-C