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1992338719
DERRICK MEADOW
CORDOVA, TN
NPI
1992338719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 903854)
Enumeration Date
2020-02-20
Last Update Date
2023-08-01
Business Address
DERRICK MEADOW APRN, PMHNP-BC, CNL
8130 COUNTRY VILLAGE DR STE 103
CORDOVA, TN 38016-2087
Phone number: 901-308-2915
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Mailing Address
DERRICK MEADOW APRN, PMHNP-BC, CNL
8130 COUNTRY VILLAGE DR STE 102
CORDOVA, TN 38016-2087
Phone number: 901-308-2915
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