Individual
AMANDA K. BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
264 COATSLAND DR., JACKSON, TN 38301
(731) 423-1500
(731) 423-0342
Mailing address
264 COATSLAND DR., JACKSON, TN 38301
(731) 423-1500
(731) 423-0342
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13296
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515286
—
TN
Enumeration date
07/25/2008
Last updated
10/18/2018
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