Provider Demographics
NPI:1861929234
Name:CULPEPPER, MEAGAN MICHELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:MICHELLE
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:MICHELLE
Other - Last Name:HOGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MEAGAN MICHELLE HOGG
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-606-6400
Mailing Address - Fax:903-561-8496
Practice Address - Street 1:8591 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-5470
Practice Address - Country:US
Practice Address - Phone:903-606-5777
Practice Address - Fax:903-561-8496
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133319363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily