Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | APN0000006847 | TN |
NPI | 1679507552 |
---|---|
Provider Name | Mrs. Janet E Anderson |
First Address | Mountain Home, TN 37684 |
Second Address | Mountain Home, TN 37684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |