Individual
WAKONDA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
35930
TN
Other
Enumeration date
03/20/2024
Last updated
03/27/2024
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