Individual
DAYNE GORDON POULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(931) 645-3552
Mailing address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(931) 645-3552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
273327
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
37143
TN
Other
Enumeration date
01/18/2024
Last updated
09/08/2025
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