Healthcare Provider Details

I. General information

NPI: 1992474217
Provider Name (Legal Business Name): JAMES BRADLEY MEURER APRN-FAMILY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 09/07/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 HILL PARK CV
JONESBORO AR
72401-6251
US

IV. Provider business mailing address

2231 HILL PARK CV
JONESBORO AR
72401-6251
US

V. Phone/Fax

Practice location:
  • Phone: 870-333-2725
  • Fax: 870-333-2720
Mailing address:
  • Phone: 870-333-2725
  • Fax: 870-333-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number216352
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number216352
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: