Basic Information
Provider Information
NPI: 1417960436
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRAMELL
FirstName: JANET
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: RPH,PHARMD,BCPS,BCOP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1004 WOODSIDE DR
Address2:  
City: BRENTWOOD
State: TN
PostalCode: 370275502
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1310 24TH AVE S
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372122637
CountryCode: US
TelephoneNumber: 6153274751
FaxNumber: 6153216310
Other Information
ProviderEnumerationDate: 08/14/2006
LastUpdateDate: 12/29/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P0018X7193TNY Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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