BRANDY PORTER NP NPI 1215510623

NPI Information

NPI: 1215510623
Provider Name: BRANDY PORTER, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (901) 262-6581
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Brandy Porter, NP is an acute care nurse practitioner in Stockbridge, GA. Brandy Porter, NP NPI is 1215510623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281-085
Phone: (901) 262-6581

The enumeration date for this NPI number is 5/3/2021 and was last updated on 8/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	269255	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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