Basic Information
Provider Information
NPI: 1528529146
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN
FirstName: BRITTANY
MiddleName: WILLIAMS
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4416A LEALAND LN
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372044234
CountryCode: US
TelephoneNumber: 3345469277
FaxNumber:  
Practice Location
Address1: 851 S WILLOW AVE STE 112
Address2:  
City: COOKEVILLE
State: TN
PostalCode: 385014222
CountryCode: US
TelephoneNumber: 6159418538
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2019
LastUpdateDate: 09/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X1-144792ALN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X27071TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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