Brannum, Jimmie Lou

Brannum, Jimmie Lou is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Brannum, Jimmie Lou can be contacted via phone (480) 812-7000.

Contact Information

Primary practice address
1525 W Frye Rd Chandler AZ 85224-6178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN134538 Arizona

Profile Details

NPI number 1942330295
LBN Legal business name Brannum, Jimmie Lou
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 9th, 2007 - about 17 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 1942330295 NPPES
Arizona MEDICAID 977423

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