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General NPI Number Information
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NPI Number | 1356149082
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Entity Type | Organization
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Legal Business Name | HEAL WISE PSYCHIATRIC CARE
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 11 S JEFFERSON AVE STE A
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City | COOKEVILLE
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State | TN
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Zip | 38501-3383
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Country | US
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Telephone | 931-240-0603
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Fax | 931-208-3648
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Provider Business Mailing Address
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Address Line | 1375 PILOT DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-4207
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Country | US
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Telephone | 931-240-0603
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Fax | 931-208-3648
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Authorized Official
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Title or Position | APRN
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Name | ANGELA CREMEANS
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Credential | PMHNP-BC
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Telephone | 931-319-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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