Provider Demographics
NPI:1598953952
Name:BRANCH-SMITH, JANNAH R (APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JANNAH
Middle Name:R
Last Name:BRANCH-SMITH
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5307
Mailing Address - Country:US
Mailing Address - Phone:615-227-3000
Mailing Address - Fax:
Practice Address - Street 1:1223 DICKERSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-5408
Practice Address - Country:US
Practice Address - Phone:615-227-3000
Practice Address - Fax:615-515-5773
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN150139163W00000X
TN14263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514601Medicaid
TN150139OtherRN LICENSE
TN14263OtherAPN LICENSE