| Chakun Tiffany Mcdaniel, FNP-C | |
|
3050 Riverwood Pkwy Ste B, Gastonia, NC 28056-6002 | |
| (704) 874-9005 | |
| (704) 874-9001 |
| Full Name | Chakun Tiffany Mcdaniel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3050 Riverwood Pkwy Ste B, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316416555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 22402 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5017016 (North Carolina) | Primary |
| Entity Name | Advance Behavioral Medicine. Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770542540 PECOS PAC ID: 1951362102 Enrollment ID: O20041021000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Chakun Tiffany Mcdaniel, FNP-C 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904 | Chakun Tiffany Mcdaniel, FNP-C 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056-6002 Ph: (704) 874-9005 |
Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313 | |
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202 | |
Susanna M Shepard, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294 | |
Cecily Robin Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948 | |
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005 | |
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228 | |
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274 |