Provider Demographics
NPI:1447273131
Name:MCNABB, DANIEL LYNN (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LYNN
Last Name:MCNABB
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:816 MUSCOGEE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-5229
Mailing Address - Country:US
Mailing Address - Phone:615-754-4879
Mailing Address - Fax:
Practice Address - Street 1:816 MUSCOGEE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-5229
Practice Address - Country:US
Practice Address - Phone:615-754-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNPA00317363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant