Individual provider · NPI-1

Whitney Brannon, NP

Nurse Practitioner · Bremen, GA

NPI number1265154884
StatusActive
Last updated in NPPESMar 21, 2025

Details

NPI
1265154884
Entity type
Individual (NPI-1)
Name
Whitney Brannon
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 12, 2022
Certification date
Mar 21, 2025
Last updated
Mar 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN256523GAYes
363LP2300X Nurse Practitioner, Primary Care363LF0000XGA

Practice location

222 Gordon St
Bremen, GA 30110-1519

Phone 770-537-1236

Mailing address

1079 Mormon Church Rd
Buchanan, GA 30113-3624

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