Healthcare Provider Details

I. General information

NPI: 1841438611
Provider Name (Legal Business Name): DANIELLE JOY MCALLISTER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE JOY KINION

II. Dates (important events)

Enumeration Date: 01/31/2009
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 HIGHWAY 72 W
MADISON AL
35758-9573
US

IV. Provider business mailing address

128 ARBORWOOD DR
MADISON AL
35756-2509
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-2012
  • Fax:
Mailing address:
  • Phone: 937-524-3058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-192942
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number53794
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number53794
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-192942
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: