Individual
FELICIA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
305 HIGHWAY 346, ECRU, MS 38841-9772
(662) 489-2669
(662) 489-2670
Mailing address
2131 LAKE CIRCLE DR, TUPELO, MS 38801-5809
(662) 542-9504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19764
TN
363LF0000X
Family Nurse Practitioner
Primary
902272
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6085670
BLUE CROSS BLUE SHIELD
TN
05
—
Q020650
—
TN
Enumeration date
03/25/2015
Last updated
04/20/2021
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