Humphreys, Danielle O.

Humphreys, Danielle O. is an individual health care provider with primary practice located at 235 Medical Park Blvd , Bristol TN 37620-7455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Humphreys, Danielle O. can be contacted via phone (423) 246-6777.

Contact Information

Primary practice address
235 Medical Park Blvd Bristol TN 37620-7455
Phone: (423) 246-6777
Fax: (423) 246-7766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN08353 Tennessee

Profile Details

NPI number 1518937069
LBN Legal business name Humphreys, Danielle O.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518937069 NPPES
Tennessee Other 4212285 BCBS
Tennessee MEDICAID 3700035 BCBS
Tennessee MEDICAID 010316634 BCBS

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