Doctor Name: | VALARIE DALTON |
NPI Number: | 1881062040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 20424 |
Business Practice Address: | 3500 N Mount Juliet Rd Suite 201 Mt Juliet, TN - 371223078 |
Business Phone Number: | 6157585672 |
Business Fax Number: | |
Mailing Address: | 3500 N Mount Juliet Rd, Suite 201 MT JULIET |
State: | TN |
Postal Code: | 371223078 |
Phone Number: | 6157585672 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2015 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |