Individual
SEQUETTA TENESHIA WEAVER-BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
102 E CLAIBORNE AVE STE D, GREENWOOD, MS 38930-3518
(601) 955-3901
Mailing address
6865 LAGRANGE HILL RD, CORDOVA, TN 38018-2837
(601) 955-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260981
TN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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