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NPI Code Detail

MEDICARE: MICHAYLA GRACE MEARS

MEDICARE: MICHAYLA GRACE MEARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist

General Provider Information

NPI Number : 1477479509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAYLA GRACE MEARS
Provider Business Mailing Address
First Line : 802 SHERWOOD OAKS CV
Second Line :
City : JONESBORO
State : AR
Zip : 72404-9028
Country : US
Telephone Number : 870-217-6271
Fax Number :
Provider Business Practice Location Address
First Line : 705 GATE LN STE 202
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-3521
Country : US
Telephone Number : 865-309-4655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ MICHAYLA GRACE MEARS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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