| NPI | 1083263743 |
|---|---|
| Other Name | JAN DANIEL, NP, PLLC |
| Entity Type | Organization |
| Authorized Contact | PAMELA H TUCKER Administrator 336-210-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |