Individual
ANGELI B SWALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
228 W 4TH ST, SUITE 301, COOKEVILLE, TN 38501-2488
(931) 783-4269
(931) 372-0401
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000017640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4357579
BCBS
TN
05
—
7100425640
—
KY
05
—
Q002236
—
TN
Enumeration date
07/23/2013
Last updated
04/26/2018
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