Provider Demographics
NPI:1184043374
Name:DANIELS, KYLYNN JANAE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KYLYNN
Middle Name:JANAE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KYLYNN
Other - Middle Name:JANAE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2107 SADLER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-4814
Mailing Address - Country:US
Mailing Address - Phone:614-769-2316
Mailing Address - Fax:
Practice Address - Street 1:1607 WESTGATE CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8075
Practice Address - Country:US
Practice Address - Phone:615-376-8195
Practice Address - Fax:615-376-2601
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily