MR. JACQUELINE RENEE BRANNON PRESIDENT NPI 1962553115

NPI Information

NPI: 1962553115
Provider Name: MR. JACQUELINE RENEE BRANNON, PRESIDENT
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
1615 BLACKISTON VIEW DR
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 282-4037
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MR. Jacqueline Renee Brannon, PRESIDENT is an occupational health nurse practitioner in Clarksville, IN. MR. Jacqueline Renee Brannon, PRESIDENT NPI is 1962553115. 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:

1615 BLACKISTON VIEW DR
CLARKSVILLE, IN
ZIP 47129-012
Phone: (812) 282-4037
Fax: (812) 284-4038

The enumeration date for this NPI number is 1/15/2007 and was last updated on 7/8/2007.

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	363LX0106X	Nurse Practitioner	Occupational Health	71000788A	INDIANA	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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