Whalio Doctors

NPI 1790099323

Brenda Jean Daniel, RN

Practitioner Personal Care Attendant Southaven, MS

Practice location

Address
1200 Stateline Rd W STE 7, Southaven, MS 38671-1430
Phone
(662) 342-7676
Fax
(662) 342-7675
Mailing address
8760 Oakchase Cv, Walls, MS 38680-9400

Registered specialties (2)

Personal Care Attendant Primary
Nursing Service Related Providers Taxonomy 3747P1801X Licence RN0000066174 (TN)
Health Educator
Other Service Providers Taxonomy 174H00000X Licence RN0000066174 (TN)

Registry record

NPI
1790099323
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Aug 2010
Record last updated
6 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.