Provider Demographics
NPI:1275221970
Name:CURRENT, BRANDICE CHRISTINE (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:BRANDICE
Middle Name:CHRISTINE
Last Name:CURRENT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4776 NEW BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6406
Mailing Address - Country:US
Mailing Address - Phone:407-514-1300
Mailing Address - Fax:
Practice Address - Street 1:4776 NEW BROAD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6406
Practice Address - Country:US
Practice Address - Phone:407-514-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025918363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner