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Organization
LOTUS PSYCHIATRIC CENTER, LLC
Active
Organization
LOTUS PSYCHIATRIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TIDWELL JANICEK APRN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(615) 235-6017
Entity
Organization
Contact information
Practice address
275 JACKSON MEADOWS DR STE 206, HERMITAGE, TN 37076-1453
(615) 235-6017
Mailing address
275 JACKSON MEADOWS DR STE 206, HERMITAGE, TN 37076-1453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
12/24/2024
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