Basic Information
Provider Information
NPI: 1497111017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEND
FirstName: JANET
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 COMMERCE ST
Address2: SUITE 700
City: NASHVILLE
State: TN
PostalCode: 372011826
CountryCode: US
TelephoneNumber: 6154549850
FaxNumber:  
Practice Location
Address1: 12311 PERRY HWY
Address2:  
City: WEXFORD
State: PA
PostalCode: 150908344
CountryCode: US
TelephoneNumber: 8783324159
FaxNumber: 8783324479
Other Information
ProviderEnumerationDate: 01/12/2016
LastUpdateDate: 10/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XSP015837PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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