Provider Demographics
NPI:1942173224
Name:MCDANIEL, CASI LEIGH (FNP-C)
Entity type:Individual
Prefix:
First Name:CASI
Middle Name:LEIGH
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 SYCAMORE STREAM RD
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-2053
Mailing Address - Country:US
Mailing Address - Phone:423-736-5627
Mailing Address - Fax:
Practice Address - Street 1:6009 SYCAMORE STREAM RD
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-2053
Practice Address - Country:US
Practice Address - Phone:423-736-5627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39823363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner