Healthcare Provider Details

I. General information

NPI: 1083434278
Provider Name (Legal Business Name): JOSHUA MEADOWS PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 PINE LN
HOOVER AL
35226-2537
US

IV. Provider business mailing address

2124 PINE LN
HOOVER AL
35226-2537
US

V. Phone/Fax

Practice location:
  • Phone: 205-886-8566
  • Fax:
Mailing address:
  • Phone: 205-886-8566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1177704
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: