Individual
MS. GWENDOLYN TEESHA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
150 E BROADWAY, NEWPORT, TN 37821-2329
(423) 237-6900
(423) 532-8710
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 237-6900
(423) 532-8710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0000010486
TN
363LF0000X
Family Nurse Practitioner
Primary
10486
TN
Other
Enumeration date
07/30/2006
Last updated
02/20/2025
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