Individual
BREANNA MARIE BIEVENUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17 1ST ST E, STANTON, TN 38069-4426
(731) 548-2232
Mailing address
178 STEPHANIE ST, MILLINGTON, TN 38053-5520
(618) 521-4094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36712
TN
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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