Provider Demographics
NPI:1104080126
Name:BROWN, BRANDY LANE (APN, GNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LANE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APN, GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 21ST AVE S
Mailing Address - Street 2:SUITE #306
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4930
Mailing Address - Country:US
Mailing Address - Phone:615-673-6737
Mailing Address - Fax:
Practice Address - Street 1:2323 21ST AVE S
Practice Address - Street 2:SUITE #306
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4930
Practice Address - Country:US
Practice Address - Phone:615-673-6737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA810274363LG0600X
TN7818363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology