Provider Demographics
NPI:1851629075
Name:OLLIS, BRANDI LEIGHANN (RN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:LEIGHANN
Last Name:OLLIS
Suffix:
Gender:F
Credentials:RN, NP-C
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Mailing Address - Street 1:7710 SORREL RUN CT
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-7201
Mailing Address - Country:US
Mailing Address - Phone:306-298-4075
Mailing Address - Fax:
Practice Address - Street 1:520 N ELAM AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1127
Practice Address - Country:US
Practice Address - Phone:336-832-2432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-29
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC215662163W00000X
NC5004680363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse