Individual
MRS. BRANDI NICOLE ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 217-2188
Mailing address
464 RANCHWOOD DR, GREENVILLE, TX 75402-5474
(903) 217-2188
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP128330
TX
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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