Individual provider · Type 1 NPI
Angela Tidwell Janicek, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Goodlettsville, TN
NPI number
1740949668
Active
Practice location
120 Two Mile Pike
Goodlettsville, TN 37072-1832
Fax (615) 900-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 31500 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1740949668
Angela Tidwell Janicek, NURSE PRACTITIONER's National Provider Identifier is 1740949668, issued on Dec 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Goodlettsville, TN. The record was last updated on Jul 8, 2026.