Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26739 | TN |
NPI | 1033750948 |
---|---|
Provider Name | Mr. Daniel Joseph Ford |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2019 |
Last Update Date | 15/10/2020 |