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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1750786018 NPPES
Tennessee MEDICAID Q011957

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