Individual
LINDA JEANNE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
993 JOHNSON FERRY RD, BLDG C, STE 120, ATLANTA, GA 30342-1620
(404) 790-7860
(404) 851-8673
Mailing address
993 JOHNSON FERRY RD, BLDG C, STE 120, ATLANTA, GA 30342-1620
(404) 790-7860
(404) 851-8673
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN205972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134452D
—
GA
05
—
2563533
—
OH
Enumeration date
07/24/2006
Last updated
03/03/2020
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