MEDICARE: JANICE CALLAHAN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	18992	TN

General Provider Information

NPI Number	:	1003224155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE CALLAHAN FNP

Provider Business Mailing Address
First Line	:	321 BILLINGSLY CT
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6444
Country	:	US
Telephone Number	:	615-692-2469
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 BILLINGSLY CT STE 6
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6445
Country	:	US
Telephone Number	:	615-778-0509
Fax Number	:	615-778-0209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	07/31/2014

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