Most Relevant Information
Provider Data
| NPI Number: | 1003251612 |
| Provider Name: | ANGELA JO CAIN APRN, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 3012229 |
Most Important Dates
| Enumeration Date: | 05/09/2013 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
1374 HIGHWAY 192 E STE 400
LONDON
KY
407413123
Practice Location Phone/Fax
| Phone: | 6067705454 |
| Fax: | 6067705455 |
Provider Mailing Location
1374 HIGHWAY 192 E STE 400
LONDON
KY
407413123
Provider Mailing Phone/Fax
| Phone: | 6067705454 |
| Fax: | 6067705455 |