Individual
DANIEL TODD PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5651 FRIST BLVD STE 309, HERMITAGE, TN 37076-2057
(615) 250-6900
(615) 250-6904
Mailing address
1391 FOXLAND BLVD, G 107, GALLATIN, TN 37066-3560
(615) 675-4334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19024
TN
363LF0000X
Family Nurse Practitioner
Primary
19024
TN
Other
Enumeration date
09/09/2014
Last updated
01/04/2022
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