Brackin, Cynthia R
Brackin, Cynthia R is an individual health care provider with primary practice located at 110 Weakley Creek Rd , Lawrenceburg TN 38464-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brackin, Cynthia R can be contacted via phone (931) 766-5001.Contact Information
Primary practice address
110 Weakley Creek Rd
Lawrenceburg TN 38464-2238
Phone: (931) 766-5001
Fax: (931) 762-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000006615 | Tennessee |
Profile Details
| NPI number | 1134239684 |
|---|---|
| LBN Legal business name | Brackin, Cynthia R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134239684 | NPPES |
| Tennessee | MEDICAID | 3712106 | |
| Tennessee | Other | 3067745 |
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