Individual
BRANDON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-7070
Mailing address
620 SKYLINE DRIVE, JACKSON, TN 38301-3923
(731) 541-7070
(731) 541-7075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000190692
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
23152
TN
Other
Enumeration date
08/14/2017
Last updated
09/13/2017
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