Individual
DR. BRANDON C HABKOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
5050 POPLAR AVE STE 800, MEMPHIS, TN 38157-0800
(901) 276-2662
(901) 274-2033
Mailing address
5050 POPLAR AVE STE 800, MEMPHIS, TN 38157-0800
(901) 276-2662
(901) 274-2033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
191357
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
22919
TN
Other
Enumeration date
07/10/2017
Last updated
06/09/2021
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