Provider Demographics
NPI:1396558706
Name:GUINN, ANJEANETTE LUCILLE
Entity type:Individual
Prefix:
First Name:ANJEANETTE
Middle Name:LUCILLE
Last Name:GUINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2703
Mailing Address - Country:US
Mailing Address - Phone:615-852-5486
Mailing Address - Fax:
Practice Address - Street 1:1111 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2703
Practice Address - Country:US
Practice Address - Phone:615-852-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy