Provider Demographics
NPI:1447140157
Name:DANNELS, TIMOTHY SHAWN (MSN, APRN, FNP)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:SHAWN
Last Name:DANNELS
Suffix:
Gender:M
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BARNWELL RD
Mailing Address - Street 2:
Mailing Address - City:CRAB ORCHARD
Mailing Address - State:TN
Mailing Address - Zip Code:37723-1545
Mailing Address - Country:US
Mailing Address - Phone:615-477-0226
Mailing Address - Fax:
Practice Address - Street 1:200 JAMES ROBERTSON PKWY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37201-1202
Practice Address - Country:US
Practice Address - Phone:615-862-8269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily