Provider Demographics
NPI:1912170655
Name:FARRIS, JANELLE MARIE (D,C,)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:MARIE
Last Name:FARRIS
Suffix:
Gender:F
Credentials:D,C,
Other - Prefix:DR
Other - First Name:JANELLE
Other - Middle Name:MARIE
Other - Last Name:FARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1605 WESTGATE CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8396
Mailing Address - Country:US
Mailing Address - Phone:615-678-0024
Mailing Address - Fax:615-302-2785
Practice Address - Street 1:2900 S RUTHERFORD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5952
Practice Address - Country:US
Practice Address - Phone:615-678-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor