Provider Demographics
NPI:1154836922
Name:BRUNO, CHRISTY HAMON (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:HAMON
Last Name:BRUNO
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 W POPLAR AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2577
Mailing Address - Country:US
Mailing Address - Phone:901-442-0226
Mailing Address - Fax:901-422-5409
Practice Address - Street 1:1011 W POPLAR AVE STE 7
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2577
Practice Address - Country:US
Practice Address - Phone:901-446-0226
Practice Address - Fax:901-422-5409
Is Sole Proprietor?:No
Enumeration Date:2017-12-02
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN185435163W00000X
TN23560363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse