Provider Demographics
NPI:1508743121
Name:BRANHAM, NELONNA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:NELONNA
Middle Name:ELIZABETH
Last Name:BRANHAM
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:419 LYKINS CRK
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-5606
Mailing Address - Country:US
Mailing Address - Phone:606-424-4647
Mailing Address - Fax:
Practice Address - Street 1:419 LYKINS CRK
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-5606
Practice Address - Country:US
Practice Address - Phone:606-424-4647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant