MEDICARE: MS. AMY L DANIELS MSN, APRN, PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	41187	TN

General Provider Information

NPI Number	:	1558490177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY L DANIELS MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	731-307-8106
Fax Number	:

Provider Business Practice Location Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	731-307-8106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	04/09/2026

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