Individual
MRS. BRANDY MICHELLE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 LENA DR, ROGERSVILLE, TN 37857
(423) 272-9239
(423) 272-1803
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN60830
TN
Other
Enumeration date
09/11/2006
Last updated
07/18/2007
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