| NPI | 1720873490 |
|---|---|
| Former Name | JULIA ANN BRANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2025009888) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2025009888) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025009888) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025009888) | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-29 |