Individual
JANIE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
48 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 423-8383
(731) 424-6309
Mailing address
PO BOX 3282, JACKSON, TN 38303-3282
(731) 423-8383
(731) 424-6309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000006645
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3345357
MEDICARE ID
TN
05
—
3345357
—
TN
05
—
3345358
—
TN
Enumeration date
06/05/2006
Last updated
12/29/2020
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