Provider Demographics
NPI:1457661365
Name:NOBLE, DARRELL PAUL
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:PAUL
Last Name:NOBLE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:D
Other - Middle Name:
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 UFFELMANS
Mailing Address - Street 2:STE F
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043
Mailing Address - Country:US
Mailing Address - Phone:931-920-7333
Mailing Address - Fax:931-920-7331
Practice Address - Street 1:201 UFFELMANS
Practice Address - Street 2:STE F
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-920-7333
Practice Address - Fax:931-920-7331
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator