Individual provider · NPI-1

Dr. Brenda Ann Addison, FNP

Nurse Practitioner, Family · Albany, GA

NPI number1659449528
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1659449528
Entity type
Individual (NPI-1)
Name
Dr. Brenda Ann Addison
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN037868GAYes

Practice location

1109 N Jackson St
Albany, GA 31701-2022

Phone 229-430-4127 · Fax 229-430-5143

Mailing address

137 Smokey Alley Rd
Colquitt, GA 39837-7613

Phone 229-758-2942 · Fax 229-758-9473

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