ANGELA TIDWELL JANICEK APRN NPI 1740949668

NPI Information

NPI: 1740949668
Provider Name: ANGELA TIDWELL JANICEK, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
510 HOSPITAL DR STE 260
MADISON, TN
ZIP 37115
Phone: (615) 859-9902
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Angela Tidwell Janicek, APRN is a psychiatric/mental health nurse practitioner in Madison, TN. Angela Tidwell Janicek, APRN NPI is 1740949668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 HOSPITAL DR STE 260
MADISON, TN
ZIP 37115-027
Phone: (615) 859-9902

The NPI 1740949668 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 2/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	141667	TENNESSEE	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	141667	TENNESSEE	No
3	363L00000X	Nurse Practitioner		31500	TENNESSEE	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	31500	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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