# PROFESSIONAL EDGE NURSING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639785546
- **Authorized official:** BRENDA KAY VANNATTA (CEO)
- **Authorized official phone:** (815) 499-4354

## Contact information

- **Practice address:** 600 MARY LANE, ANNISTON, AL 36207
- **Practice address phone:** (815) 499-4354
- **Mailing address:** 600 MARY LANE, ANNISTON, AL 36207
- **Mailing address phone:** (815) 499-4354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | Yes |
| 171000000X | Military Health Care Provider | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020