Individual
MR. BRENT EDWARD EARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114
Mailing address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN09716
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3622511
—
TN
05
—
3622515
—
TN
Enumeration date
07/05/2005
Last updated
07/07/2022
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