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General NPI Number Information
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NPI Number | 1073881959
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Entity Type | Individual
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Provider Name | DANIELLE NICHOLE DAVIS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 2024 E ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-5410
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Country | US
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Telephone | 423-616-0880
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Fax | 423-616-0881
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Provider Business Mailing Address
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Address Line | PO BOX 1061
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City | MORRISTOWN
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State | TN
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Zip | 37816-1061
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Country | US
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Telephone | 423-616-0880
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Fax | 423-616-0881
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16311
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License Number State | TN
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