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NPI 1609754589

NPI 1609754589 : MEAGAN NICOLLE CARVER FNP : LAKELAND, TN

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General NPI Number Information
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    NPI Number           |    1609754589
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    Entity Type          |    Individual 
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    Provider Name        |    MEAGAN NICOLLE CARVER FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2025
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    9025 US HIGHWAY 64 
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    City                 |    LAKELAND
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    State                |    TN
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    Zip                  |    38002-7981
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    Country              |    US
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    Telephone            |    901-387-2998
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5241 JON OAK DR 
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    City                 |    ARLINGTON
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    State                |    TN
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    Zip                  |    38002-5061
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    Country              |    US
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    Telephone            |    901-606-5128
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    39793
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    License Number State |    TN
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