Individual
ALLISON JILL BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 SUNSET TRL, JELLICO, TN 37762-2343
(423) 784-5771
(423) 784-6185
Mailing address
550 SUNSET TRL, PO BOX 30, JELLICO, TN 37762-2343
(423) 784-5771
(423) 784-6185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2038
TN
Other
Enumeration date
01/04/2012
Last updated
03/08/2017
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