Briley, John Michael

Briley, John Michael is an individual health care provider with primary practice located at 1385 S Highland Ave Suite B1, Jackson TN 38301-7580. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Briley, John Michael can be contacted via phone (731) 427-0470.

Contact Information

Primary practice address
1385 S Highland Ave Suite B1 Jackson TN 38301-7580
Phone: (731) 427-0470
Fax: (731) 427-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6912 Tennessee

Profile Details

NPI number 1356339055
LBN Legal business name Briley, John Michael
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Nov 8th, 2011 - about 13 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 1356339055 NPPES
Tennessee Other 4154631 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 5441759 BLUE CROSS BLUE SHIELD

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