Provider Demographics
NPI:1871771725
Name:WILLIAMSON, DANIELLE (CNM, FNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:CNM, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MALLORY STATION RD STE B3
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2860
Mailing Address - Country:US
Mailing Address - Phone:615-332-5032
Mailing Address - Fax:615-550-2641
Practice Address - Street 1:330 MALLORY STATION RD STE B3
Practice Address - Street 2:SUITE 118
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2860
Practice Address - Country:US
Practice Address - Phone:615-332-5032
Practice Address - Fax:615-550-2641
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-02
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000162455163W00000X
TN14916363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse