Doctor Name: | BRANDI AMELIA EPPERSON |
NPI Number: | 1154757151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, FNP-C |
License Number: | APN0000017905 |
Business Practice Address: | 5722 Integrity Dr Bldg S771 Naval Branch Health Clinic Mid-south Millington, TN - 380545028 |
Business Phone Number: | 9018746111 |
Business Fax Number: | 9018746103 |
Mailing Address: | 5722 Integrity Dr Bldg S771, MILLINGTON |
State: | TN |
Postal Code: | 380545028 |
Phone Number: | 9018746111 |
Fax Number: | 9018746103 |
NPI Enumeration Date: | 09/23/2013 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000017905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |