Individual
FLANNERY JANE DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
750 OLD HICKORY BLVD STE 150, BRENTWOOD, TN 37027-5387
(615) 925-3894
(615) 658-8420
Mailing address
2490 TITANS LN, BRENTWOOD, TN 37027-3731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4661
TN
133V00000X
Registered Dietitian
D2439
MS
133V00000X
Registered Dietitian
LD006664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006379
—
MS
05
—
Q087000
—
TN
Enumeration date
08/02/2023
Last updated
10/16/2023
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