Healthcare Provider Details

I. General information

NPI: 1821773466
Provider Name (Legal Business Name): ANGELA YVONNE LOVELL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 RICHARD JONES RD STE 100
NASHVILLE TN
37215-2885
US

IV. Provider business mailing address

7457 HIGHWAY 41A
CEDAR HILL TN
37032-6607
US

V. Phone/Fax

Practice location:
  • Phone: 931-980-5628
  • Fax:
Mailing address:
  • Phone: 931-980-5628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number165914
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number37224
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: