Provider Demographics
NPI:1679507552
Name:ANDERSON, JANET E (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:E
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APRN-BC
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Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JAMES H. QUILLEN / VAMC
Mailing Address - Street 2:CORNER OF SIDNEY AND LAMONT JOHNSON CITY
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TN
Mailing Address - Zip Code:37684
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:423-979-3431
Practice Address - Street 1:JAMES H. QUILLEN / VAMC
Practice Address - Street 2:CORNER OF SIDNEY AND LAMONT JOHNSON CITY
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-979-3431
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006847363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health