Individual
MR. DANIEL JORDAN SMALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6473 KINGSTON PIKE, KNOXVILLE, TN 37919-4832
(865) 909-0090
Mailing address
909 CARDING MACHINE RD, LOUDON, TN 37774-5627
(865) 567-0274
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
208191
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
34049
TN
Other
Enumeration date
04/25/2023
Last updated
09/07/2023
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