Individual
DR. JOHN MICHAEL BRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1385 S HIGHLAND AVE, SUITE B1, JACKSON, TN 38301-7580
(731) 427-0470
(731) 427-0995
Mailing address
PO BOX 9274, JACKSON, TN 38314-9274
(731) 427-0470
(731) 427-0995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6912
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4154631
BLUE CROSS BLUE SHIELD
TN
05
—
5441759
—
TN
Enumeration date
10/07/2005
Last updated
11/08/2011
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