Individual
MRS. CHERYL ELAINE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
108 JESS CIR, MARYVILLE, TN 37801-0692
(865) 660-1053
(865) 977-4162
Mailing address
108 JESS CIR, MARYVILLE, TN 37801-0692
(865) 660-1053
(865) 977-4162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000173193
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000015697
TN
Other
Enumeration date
12/14/2006
Last updated
04/11/2011
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