Individual
MS. DALTON PICKNEY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APN ACNP-BC
Contact information
Practice address
2400 PATTERSON ST, SUITE 502, NASHVILLE, TN 37203-1562
(615) 515-1900
(615) 292-4633
Mailing address
2400 PATTERSON ST, SUITE 502, NASHVILLE, TN 37203-1562
(615) 515-1900
(615) 292-4633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15303
TN
363LA2100X
Acute Care Nurse Practitioner
15303
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527568
—
TN
01
—
4324125
BLUE CROSS/BLUE SHIELD
TN
01
—
PO1120793
RR MEDICARE
TN
Enumeration date
11/19/2011
Last updated
02/10/2022
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