Individual
JAMIE NICOLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4233 HIGHWAY 411, MADISONVILLE, TN 37354-1571
(423) 884-1950
(423) 884-1945
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
024465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q043929
—
TN
Enumeration date
08/06/2018
Last updated
04/15/2026
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