Tinker, Brandy Michelle

Tinker, Brandy Michelle is an individual health care provider with primary practice located at 414 Greenbelt Dr , Maryville TN 37804-5702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tinker, Brandy Michelle can be contacted via phone (865) 982-0032.

Contact Information

Primary practice address
414 Greenbelt Dr Maryville TN 37804-5702
Fax: (866) 307-8963
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 21477 Tennessee

Profile Details

NPI number 1841743580
LBN Legal business name Tinker, Brandy Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2016
Last updated May 22nd, 2024 - about 2 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 1841743580 NPPES
Tennessee MEDICAID Q024675

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