Provider Demographics
NPI:1386447191
Name:PATEL, ANJALI SUNILKUMAR (FNP-C)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:SUNILKUMAR
Last Name:PATEL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4024
Mailing Address - Country:US
Mailing Address - Phone:931-287-6882
Mailing Address - Fax:833-314-0425
Practice Address - Street 1:820 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4024
Practice Address - Country:US
Practice Address - Phone:931-250-5230
Practice Address - Fax:833-314-0425
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily