Provider Demographics
NPI:1033815758
Name:HATMAKER, DARYN NICHOLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:DARYN
Middle Name:NICHOLE
Last Name:HATMAKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 JACKSBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-3003
Mailing Address - Country:US
Mailing Address - Phone:423-907-1700
Mailing Address - Fax:423-907-1711
Practice Address - Street 1:2145 JACKSBORO PIKE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-3003
Practice Address - Country:US
Practice Address - Phone:423-907-1700
Practice Address - Fax:423-907-1711
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33376363LF0000X
TN254165163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse