| NPI | 1265847131 |
|---|---|
| Former Name | TAMMY J. BRANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2013017052) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5994-33) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-06-14 |