Provider Demographics
NPI:1659887453
Name:MCGILL, DESTINY NICOLE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DESTINY
Middle Name:NICOLE
Last Name:MCGILL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DESTINY
Other - Middle Name:NICOLE
Other - Last Name:LAGARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:315 DEADERICK ST STE 1550
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37238-3003
Mailing Address - Country:US
Mailing Address - Phone:888-803-3370
Mailing Address - Fax:
Practice Address - Street 1:315 DEADERICK ST STE 1550
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37238-3003
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:888-803-3331
Is Sole Proprietor?:No
Enumeration Date:2017-12-17
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23611363LF0000X
KY3012044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily