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
Fax: (931) 762-3800
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134239684 NPPES
Tennessee MEDICAID 3712106
Tennessee Other 3067745

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