Individual
JANEL NICOLE TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
15790 PAUL VEGA DR, HAMMOND, LA 70403-1436
(985) 230-3066
(985) 230-2072
Mailing address
1001 N WALDROP DR STE 509, ARLINGTON, TX 76012-4703
(817) 394-4300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
687805
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP09592
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183678501
—
TX
Enumeration date
05/27/2006
Last updated
04/02/2018
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