Individual
WHITNEY BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1236
Mailing address
1079 MORMON CHURCH RD, BUCHANAN, GA 30113-3624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN256523
GA
363LP2300X
Primary Care Nurse Practitioner
363LF0000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI
GA
Enumeration date
09/12/2022
Last updated
03/21/2025
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