Individual ProviderDanielle MattinglyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3601 The Vanderbilt Clinic, Nashville, TN 37232(615) 936-2000PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Mattingly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:59 PM.Profile DetailsProvider ID1235588575Provider TypeIndividualFull NameMattingly, DanielleCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date6/7/2016Last Updated10/15/2020Contact InformationPractice LocationPractice Address3601 The Vanderbilt Clinic, Nashville, TN 37232Phone(615) 936-2000FaxUnlisted FaxMailing LocationMailing Address719 Thompson Ln Ste 30330, Nashville, TN 37204-4701Phone(615) 936-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF341552New YorkCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense692687-1New York