Provider Demographics
NPI:1053181982
Name:CROWELL, DANIEL (MSN-PMHNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:CROWELL
Suffix:
Gender:M
Credentials:MSN-PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8069 HIGHWAY 41A
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37032-6617
Mailing Address - Country:US
Mailing Address - Phone:615-992-5932
Mailing Address - Fax:
Practice Address - Street 1:8069 HIGHWAY 41A
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TN
Practice Address - Zip Code:37032-6617
Practice Address - Country:US
Practice Address - Phone:615-992-5932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN181276163W00000X
TN36603363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse