Individual
MS. BRANDY NICOLE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
307 REED ST, PORTLAND, TN 37148-1708
(615) 525-8792
Mailing address
307 REED ST, PORTLAND, TN 37148-1708
(615) 525-8792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000017928
TN
Other
Enumeration date
09/30/2013
Last updated
08/25/2023
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