Provider Demographics
NPI:1821026741
Name:BRANN, JAMES C (RN MSN CS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:BRANN
Suffix:
Gender:M
Credentials:RN MSN CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1578 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1709
Mailing Address - Country:US
Mailing Address - Phone:215-830-8460
Mailing Address - Fax:215-830-8464
Practice Address - Street 1:1578 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1709
Practice Address - Country:US
Practice Address - Phone:215-830-8460
Practice Address - Fax:215-830-8464
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN270786L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000819785OtherHIGHMARK BC/BS
PA0007066181OtherAETNA
PA0849884000OtherPERSONAL CHOICE NETWORK
PA268899000OtherMAGELLAN BEHAVIORAHEALTH
PA0007066181OtherAETNA
PA268899000OtherMAGELLAN BEHAVIORAHEALTH