MR. JACQUELINE RENEE BRANNON (NPI# 1962553115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962553115 |
| Entity Type | Individual |
| Full Name | MR. JACQUELINE RENEE BRANNON |
| Credential | PRESIDENT |
| Practice Address |
1615 Blackiston View Dr Clarksville IN 47129-2012 |
| Practice Telephone | 8122824037 |
| Practice Fax Number | 8122844038 |
| Mailing Telephone | 8122824037 |
| Mailing Fax Number | 8122844038 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
71000788A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1615 BLACKISTON VIEW DR |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844996 | Rhonda Joan Hettinger | Nurse Practitioner | 1615 Blackiston View Dr, Suite E, Clarksville, IN 47129-2035 | 2005-10-10 |
| 1033483888 | Paul Joseph Evans | Nurse Practitioner | 1615 Blackiston View Dr, Clarksville, IN 47129-2035 | 2012-02-25 |
| 1417260555 | Your Family and Heart Care Center With Personalized Prevention | Nurse Practitioner | 1615 Blackiston View Dr, Clarksville, IN 47129-2035 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326523853 | Christie L Schmitt | Nurse Practitioner | 4755 Highway 31 E, Clarksville, IN 47129-9220 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1275663700 | Patricia S Scheetz | Nurse Practitioner | 3218 Daugherty Dr Ste 140, Lafayette, IN 47909-3997 | 2007-03-06 |
| 1760546022 | Sandra M Higgins | Nurse Practitioner | 4321 Fir St St Catherine Hospital, Suite313, East Chicago, IN 46312 | 2006-12-21 |
| 1114093309 | Mary Ann Ruff | Nurse Practitioner | 1101 Southeastern Ave, Indianapolis, IN 46202 | 2006-11-28 |
| 1255444691 | Janet Ann Myers | Nurse Practitioner | 2855 Northpark Ave, Suite 102, Huntington, IN 46750-4262 | 2006-08-17 |
| 1245240027 | Barbara Ann Chivers | Nurse Practitioner | 1844 Ida Red Rd, Kendallville, IN 46755-2873 | 2006-08-08 |
| 1770044380 | Junaid Hasnain | Nurse Practitioner | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2019-03-27 |
| 1053886788 | Monica Michele Roadruck | Nurse Practitioner | 3218 Daugherty Dr Ste 140, Lafayette, IN 47909-3997 | 2018-10-09 |
| 1053715045 | Vicky Thompson | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403 | 2014-10-20 |
| 1225466949 | Jan Lorraine Miller | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2013-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on MR. JACQUELINE RENEE BRANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.