Provider Demographics
NPI:1003224155
Name:CALLAHAN, JANICE (FNP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 BILLINGSLY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6444
Mailing Address - Country:US
Mailing Address - Phone:615-692-2469
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT STE 6
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6445
Practice Address - Country:US
Practice Address - Phone:615-778-0509
Practice Address - Fax:615-778-0209
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily