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1083967962
KACY NICHOLE BRANDT
BRISTOL, TN
NPI
1083967962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 16831)
Enumeration Date
2012-10-17
Last Update Date
2016-08-02
Business Address
-- KACY NICHOLE BRANDT FNP
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-282-1480
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Mailing Address
-- KACY NICHOLE BRANDT FNP
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 423-282-1480
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