Individual
JANA NICOLE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(800) 342-2898
Mailing address
201 LEDGE MANOR DR, HOLLY SPRINGS, NC 27540-4981
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5016847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5016847
NP LICENSE
NC
Enumeration date
09/06/2022
Last updated
09/06/2022
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