Provider Demographics
NPI:1831186188
Name:GASKIN, ANGELA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JEAN
Last Name:GASKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:JEAN
Other - Last Name:ARMSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-329-9508
Mailing Address - Fax:615-329-1092
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 119
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-329-9508
Practice Address - Fax:615-329-1092
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21227207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB65123Medicare UPIN
TN3071644Medicare ID - Type Unspecified