Individual
DONNA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 980-5089
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19748
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015603
—
TN
Enumeration date
03/14/2015
Last updated
10/24/2025
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