Brandeberry, Leigh Ann
Brandeberry, Leigh Ann is an individual health care provider with primary practice located at 24 Physicians Dr , Jackson TN 38305-2070. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brandeberry, Leigh Ann can be contacted via phone (731) 661-9825.Contact Information
Primary practice address
24 Physicians Dr
Jackson TN 38305-2070
Phone: (731) 661-9825
Fax: (731) 668-6757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APN0000019241 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APN0000019241 | Tennessee |
Profile Details
| NPI number | 1750786018 |
|---|---|
| LBN Legal business name | Brandeberry, Leigh Ann |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2014 |
| Last updated | Nov 2nd, 2015 - about 11 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 | 1750786018 | NPPES |
| Tennessee | MEDICAID | Q011957 |
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