Basic Information
Provider Information
NPI: 1558735845
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRATTON
FirstName: JONI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2620 ELM HILL PIKE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372143108
CountryCode: US
TelephoneNumber: 6154254200
FaxNumber:  
Practice Location
Address1: 676 N GERMANTOWN PKWY
Address2:  
City: CORDOVA
State: TN
PostalCode: 380186210
CountryCode: US
TelephoneNumber: 9019691773
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/24/2015
LastUpdateDate: 09/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN0000024281TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XA004510ARN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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