Provider Demographics
NPI:1497402861
Name:GARNER, BRIANA NICOLE
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:NICOLE
Last Name:GARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 GATESHEAD LN APT 301
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4872
Mailing Address - Country:US
Mailing Address - Phone:901-571-4394
Mailing Address - Fax:
Practice Address - Street 1:8950 GATESHEAD LN APT 301
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4872
Practice Address - Country:US
Practice Address - Phone:901-571-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle