Stewart, Brandy Enoch

Stewart, Brandy Enoch is an individual health care provider with primary practice located at 313 N Main St , Ashland City TN 37015-1347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stewart, Brandy Enoch can be contacted via phone (615) 792-1911.

Contact Information

Primary practice address
313 N Main St Ashland City TN 37015-1347
Phone: (615) 792-1911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN12257 Tennessee

Profile Details

NPI number 1801017116
LBN Legal business name Stewart, Brandy Enoch
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jan 27th, 2022 - 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 1801017116 NPPES
Tennessee Other P00418599 RR MEDICARE
Tennessee MEDICAID 3341290 RR MEDICARE
Tennessee Other 4164545 RR MEDICARE
Tennessee MEDICAID 7100018730 RR MEDICARE
Tennessee Other 4164551 RR MEDICARE

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