Provider Demographics
NPI:1477860971
Name:HIGHTOWER, ANGELA GAIL (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:GAIL
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4753 HILLARD LN
Mailing Address - Street 2:
Mailing Address - City:STRAWBERRY PLAINS
Mailing Address - State:TN
Mailing Address - Zip Code:37871-1629
Mailing Address - Country:US
Mailing Address - Phone:865-933-2001
Mailing Address - Fax:
Practice Address - Street 1:4753 HILLARD LN
Practice Address - Street 2:
Practice Address - City:STRAWBERRY PLAINS
Practice Address - State:TN
Practice Address - Zip Code:37871-1629
Practice Address - Country:US
Practice Address - Phone:865-933-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000015135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily