Individual
ANDREA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 5TH ST N, COLUMBUS, MS 39705-2010
(662) 244-2960
(662) 244-2964
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902329
MS
Other
Enumeration date
09/22/2017
Last updated
03/17/2018
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