Individual
MR. BRANDON CHARLES STIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
810 W CHURCH ST, PO BOX 159, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000177293
TN
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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