Provider Demographics
NPI:1013158229
Name:BRANSCOME, KJERSTEN (CCC-A)
Entity Type:Individual
Prefix:
First Name:KJERSTEN
Middle Name:
Last Name:BRANSCOME
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2324
Mailing Address - Country:US
Mailing Address - Phone:615-340-4000
Mailing Address - Fax:615-327-4449
Practice Address - Street 1:4323 CAROTHERS PKWY STE 408
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5923
Practice Address - Country:US
Practice Address - Phone:615-340-4040
Practice Address - Fax:615-790-9170
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1541231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist