Individual
ANGELA TIDWELL JANICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
327 CALDWELL DR STE 500, GOODLETTSVILLE, TN 37072-3410
(615) 239-1404
(615) 900-2716
Mailing address
327 CALDWELL DR STE 500, GOODLETTSVILLE, TN 37072-3410
(615) 239-1404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31500
TN
Other
Enumeration date
12/08/2021
Last updated
09/24/2024
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