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Individual

ANGELISA JANIKKE JANSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
170 E MAIN ST STE D, STE 193, HENDERSONVILLE, TN 37075-3952
(615) 752-0041
Mailing address
170 E MAIN ST STE D, STE 193, HENDERSONVILLE, TN 37075-3952
(615) 752-0041

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36782
TN

Other

Enumeration date
05/05/2008
Last updated
10/17/2012
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