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NPI Code Detail

MEDICARE: JANICE B DANIEL NP

MEDICARE:   JANICE B DANIEL  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner201192NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528021177
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE B DANIEL NP
Provider Business Mailing Address
First Line : 211 SHELTON RD
Second Line :
City : STOKESDALE
State : NC
Zip : 27357-8204
Country : US
Telephone Number : 336-408-9484
Fax Number :
Provider Business Practice Location Address
First Line : 1510 NC HIGHWAY 68 N
Second Line :
City : OAK RIDGE
State : NC
Zip : 27310-9733
Country : US
Telephone Number : 336-644-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 04/23/2021

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Directions to “ JANICE B DANIEL NP” Practice Location

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