Individual
MR. BRAD F CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1335 FLOWERING DOGWOOD LN, DYERSBURG, TN 38024-2890
(731) 286-2467
(731) 286-1178
Mailing address
1335 FLOWERING DOGWOOD LN, DYERSBURG, TN 38024-2890
(731) 286-2467
(731) 286-1178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167450
TN
363L00000X
Nurse Practitioner
Primary
15723
TN
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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