Individual
ANGELA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1665 BONNIE LN STE 101, CORDOVA, TN 38016-0548
(901) 531-8555
Mailing address
1665 BONNIE LN, CORDOVA, TN 38016-0548
(901) 494-8740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26515
TN
Other
Enumeration date
01/30/2020
Last updated
03/20/2020
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