Jenkins, Brandy Gaddy

Jenkins, Brandy Gaddy is an individual health care provider with primary practice located at 3116 Highway 34 E , Newnan GA 30265-1342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jenkins, Brandy Gaddy can be contacted via phone (678) 633-6051.

Contact Information

Primary practice address
3116 Highway 34 E Newnan GA 30265-1342
Phone: (678) 633-6051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN166060 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN166060 Georgia

Profile Details

NPI number 1336385475
LBN Legal business name Jenkins, Brandy Gaddy
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2008
Last updated Feb 24th, 2016 - about 9 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 1336385475 NPPES
Georgia MEDICAID 850673599B

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