Individual
JENNA J BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 622-7393
(937) 667-5002
Mailing address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 622-7393
(937) 667-5002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.422570
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0028292
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435665
—
OH
Enumeration date
09/10/2020
Last updated
08/15/2024
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