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1174384440
BREIANNE M CHISHOLM
SOMERVILLE, TN
NPI
1174384440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 35496)
Enumeration Date
2024-01-23
Last Update Date
2024-11-01
Business Address
BREIANNE M CHISHOLM PMHNP
1744 US HIGHWA 64
SOMERVILLE, TN 38068
Phone number: 731-609-8992
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Mailing Address
BREIANNE M CHISHOLM PMHNP
180 CHISHOLM LAKE RD
RIPLEY, TN 38063-5802
Phone number: 731-589-0420
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