Provider Demographics
NPI:1700673928
Name:MEADE, SHYMYIA QUINNSHA (CRNP)
Entity type:Individual
Prefix:
First Name:SHYMYIA
Middle Name:QUINNSHA
Last Name:MEADE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2271 COUNTY ROAD 268
Mailing Address - Street 2:
Mailing Address - City:TOWN CREEK
Mailing Address - State:AL
Mailing Address - Zip Code:35672-3107
Mailing Address - Country:US
Mailing Address - Phone:256-273-2015
Mailing Address - Fax:
Practice Address - Street 1:1404 E AVALON AVE STE A
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-1771
Practice Address - Country:US
Practice Address - Phone:256-381-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF02250274363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner