Individual
TANNER BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
Mailing address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214801
AR
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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