Individual
MRS. DONNA D DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8115 BLUE SPRUCE DR, HIXSON, TN 37343-1215
(423) 362-0917
Mailing address
8115 BLUE SPRUCE DR, HIXSON, TN 37343-1215
(423) 362-0917
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
97224
TN
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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