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NPI Code Detail

MEDICARE: MS. AMY L DANIELS MSN, APRN, PMHNP-BC

MEDICARE: MS. AMY L DANIELS MSN, APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner239184TN
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1558490177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY L DANIELS MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 3152 ABBYTON PL
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-3849
Country : US
Telephone Number : 731-307-8106
Fax Number :
Provider Business Practice Location Address
First Line : 511 8TH ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3093
Country : US
Telephone Number : 931-920-7200
Fax Number : 931-920-7205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 01/21/2026

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