Healthcare Provider Details

I. General information

NPI: 1053959783
Provider Name (Legal Business Name): JILL ROBINSON DANAHY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6102 SHALLOWFORD RD STE 104
CHATTANOOGA TN
37421-1684
US

IV. Provider business mailing address

6102 SHALLOWFORD RD STE 104
CHATTANOOGA TN
37421-1684
US

V. Phone/Fax

Practice location:
  • Phone: 423-206-9214
  • Fax: 423-717-5569
Mailing address:
  • Phone: 423-206-9214
  • Fax: 423-717-5569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN081737
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number37865
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN081737
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: