Healthcare Provider Details

I. General information

NPI: 1255258349
Provider Name (Legal Business Name): JOLIANNA DANBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CUMBERLAND AVE STE 110
MADISON TN
37115-3339
US

IV. Provider business mailing address

225 HARROGATE WAY
ALPHARETTA GA
30022-3776
US

V. Phone/Fax

Practice location:
  • Phone: 615-596-1830
  • Fax: 615-766-8277
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: