Brainerd, Lea Hayley

Brainerd, Lea Hayley is an sole proprietor health care provider with primary practice located at 4646 Poplar Ave Ste 409 , Memphis TN 38117-4434. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brainerd, Lea Hayley can be contacted via phone (901) 582-7243.

Contact Information

Primary practice address
4646 Poplar Ave Ste 409 Memphis TN 38117-4434
Phone: (901) 582-7243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00599 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4706 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00599 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4706 Tennessee

Profile Details

NPI number 1740954643
LBN Legal business name Brainerd, Lea Hayley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2021
Last updated Apr 6th, 2023 - about last year

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 1740954643 NPPES
Tennessee Other 1188566 NCCPA CERTIFICATION
Tennessee Other 4706 NCCPA CERTIFICATION
Tennessee Other PA00599 NCCPA CERTIFICATION

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