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Individual

BRANDY ENOCH STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
111 W KINGSTON SPRINGS RD STE 104, KINGSTON SPRINGS, TN 37082-9121
(615) 952-2011
(615) 952-5216
Mailing address
111 W KINGSTON SPRINGS RD STE 104, KINGSTON SPRINGS, TN 37082-9121
(615) 952-2011
(615) 952-5216

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN12257
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3341290
TN
01
4164545
BCBS OF TN
TN
01
4164551
BCBS OF TN
TN
05
7100018730
KY
01
P00418599
RR MEDICARE
TN
Enumeration date
05/02/2007
Last updated
03/03/2026
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