Individual
DANIEL RYAN TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPMHNP
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9081
Mailing address
10022 FOX COVE RD, KNOXVILLE, TN 37922-4291
(865) 335-9765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
32014
TN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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