Individual
BREANNA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
641 E COMMERCE ST, LEWISBURG, TN 37091-2816
(931) 359-4555
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25670
TN
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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