Lucretia M Daniel in Olive Branch - Nurse Practitioner
Lucretia M Daniel - NPI 1154389955
Lucretia M Daniel is a Nurse Practitioner in Olive Branch, Mississippi. Lucretia M Daniel practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lucretia M Daniel is 1154389955. The last update date is 2022-05-13.
Lucretia M Daniel's current location address is 6958 Goodman Road, Olive Branch, Mississippi. You can contact this provider via phone number 6628907490 and fax number 6628907490. The mailing address for Lucretia M Daniel is 6958 Goodman Road, Olive Branch, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucretia M Daniel |
|---|---|
| Address | 6958 Goodman Road, Olive Branch, Mississippi |
| Phone Number | 6628907490 |
| Fax Number | 6628907490 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1154389955 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2022-05-13 |
Provider Mailing Address Detail
| Address | 6958 Goodman Road |
|---|---|
| City | Olive Branch |
| State | Mississippi (MS) |
| Post Code | 38654 |
| Phone Number | 6628907490 |
| Fax Number | 6628907490 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 6007 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code issued to Lucretia M Daniel by the Centers for Medicare & Medicaid Services?
The Lucretia M Daniel has been assigned the NPI (National Provider Identifier) 1154389955 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lucretia M Daniel?
The Lucretia M Daniel is situated at 6958 Goodman Road, in the city of Olive Branch, state of MS, with the zip code 38654.
What is Lucretia M Daniel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lucretia M Daniel's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154389955 to Lucretia M Daniel?
The Centers for Medicare & Medicaid Services assigned the 1154389955 to Lucretia M Daniel on 2006-05-02.
When was the information pertaining to Lucretia M Daniel most recently updated or revised?
The details related to Lucretia M Daniel, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-13.