Individual
CYNTHIA R BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 WEAKLEY CREEK RD, LAWRENCEBURG, TN 38464-2238
(931) 766-5001
(931) 762-3800
Mailing address
PO BOX 1066, LAWRENCEBURG, TN 38464-1066
(931) 766-5001
(931) 762-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3067745
BCBS TN NUMBER
TN
05
—
3712106
—
TN
Enumeration date
08/30/2006
Last updated
07/09/2007
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