Jennifer L Angelo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

651630 Issued in TX

Legal business name

JENNIFER L ANGELO

Practice address

600 E Coke Rd
Winnsboro, TX 75494-3418

Phone

(903) 342-9700

Fax

(903) 342-9701

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer L Angelo, RN, PMHNP

Title

RN, Pmhnp

Phone

(903) 767-1049

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lee Angelo-Jongsma, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Winnsboro, TX
  • NPI 1851676134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1467721894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-342-9700",
            "fax_number": "903-342-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-342-9700",
            "fax_number": "903-342-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L ANGELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RN, PMHNP",
        "authorized_official_telephone_number": "903-767-1049",
        "authorized_official_credential": "RN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "651630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1851676134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry D Houchin, DO
• William K Huff, MD
• Shayla Hunter
• Michelle Louise Jacelon, PT
• Jean Woel Latortue (Franklin County Rural Health Clinic)
• John Whorff O.D. P.C. (The Optical Shop)
• John Whorff O.D. P.C. (The Optcal Shop)
• Vicki Miller Johns, RD,LD,CDE
• Corrine Johnston
• Joy Health & Rehab of Winnsboro, LLC

• Psychiatric/Mental Health Nurse Practitioner in Winnsboro, TX
• Providers in Winnsboro, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.