Healthcare Provider Details

I. General information

NPI: 1669139242
Provider Name (Legal Business Name): KATHERINE MICHELLE DANIEL DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JESSE HILL JR DR SE
ATLANTA GA
30303-3032
US

IV. Provider business mailing address

35 JESSE HILL JR DR SE
ATLANTA GA
30303-3032
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5475
  • Fax:
Mailing address:
  • Phone: 44-785-5475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-NP329997
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN329997
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: