Individual
DR. JANET THERESA ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-7875
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-7875
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15387
MS
2084P0804X
Child & Adolescent Psychiatry Physician
15387
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118159
—
MS
Enumeration date
07/05/2006
Last updated
01/15/2016
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