Branam, Jenna J

Branam, Jenna J is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Branam, Jenna J can be contacted via phone (937) 293-8300.

Contact Information

Primary practice address
3095 Kettering Blvd Moraine OH 45439-1983
Phone: (937) 293-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.422570 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0028292 Ohio

Profile Details

NPI number 1083229751
LBN Legal business name Branam, Jenna J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2020
Last updated Mar 7th, 2023 - 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 1083229751 NPPES
Ohio MEDICAID 0435665

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