Individual
DANIELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(800) 951-4357
Mailing address
PO BOX 1245, DOTHAN, AL 36302-1245
(334) 712-2720
(334) 712-2673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-141432
AL
Other
Enumeration date
10/02/2019
Last updated
02/13/2020
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