Individual
BRIANNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204
(615) 292-9770
(615) 292-9706
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3868
TN
363AM0700X
Medical Physician Assistant
3868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052485
—
TN
Enumeration date
11/18/2014
Last updated
11/06/2024
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