# JENNIFER L ANGELO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467721894
- **Authorized official:** JENNIFER L ANGELO RN, PMHNP (RN, PMHNP)
- **Authorized official phone:** (903) 767-1049

## Contact information

- **Practice address:** 600 E COKE RD, WINNSBORO, TX 75494-3418
- **Practice address phone:** (903) 342-9700
- **Practice address fax:** (903) 342-9701
- **Mailing address:** 600 E COKE RD, WINNSBORO, TX 75494-3418
- **Mailing address phone:** (903) 342-9700
- **Mailing address fax:** (903) 342-9701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 651630 | TX | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011