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NPI Code Detail

MEDICARE: DANIELLE DESLAURIERS STAMPS FNP

MEDICARE: DANIELLE DESLAURIERS STAMPS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner15527TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225334410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DESLAURIERS STAMPS FNP
Provider Business Mailing Address
First Line : 2711 FOSTER AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-5307
Country : US
Telephone Number : 615-620-8647
Fax Number : 615-515-5773
Provider Business Practice Location Address
First Line : 217 E HIGH ST STE 200
Second Line :
City : LEBANON
State : TN
Zip : 37087-6709
Country : US
Telephone Number : 615-227-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2011
Last Update Date : 10/17/2019

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