Provider Demographics
NPI:1366577348
Name:DADDARIO, JANE B (APRN, BC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:B
Last Name:DADDARIO
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:374 FRIST HALL
Mailing Address - Street 2:461 21ST AVENUE SOUTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37240-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-3299
Mailing Address - Fax:615-936-0228
Practice Address - Street 1:2201 MUEPHY AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-301-9000
Practice Address - Fax:615-301-9006
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN5393363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN5393OtherAPN LICENSE
MD0996744OtherDEA