Provider Demographics
NPI:1396099917
Name:SEABORN, BRANDEE MICHELLE (MSN, ANP-C)
Entity type:Individual
Prefix:
First Name:BRANDEE
Middle Name:MICHELLE
Last Name:SEABORN
Suffix:
Gender:F
Credentials:MSN, ANP-C
Other - Prefix:
Other - First Name:BRANDEE
Other - Middle Name:M
Other - Last Name:DRIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-4088
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:4220 HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2005
Practice Address - Country:US
Practice Address - Phone:615-222-4923
Practice Address - Fax:615-222-4919
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17169363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I508853OtherTN MEDICARE
TNQ011666Medicaid