Provider Demographics
NPI:1770619777
Name:PHARRIS, BRANDE NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:BRANDE
Middle Name:NICOLE
Last Name:PHARRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 HIGHWAY 52 BYP W
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-1728
Mailing Address - Country:US
Mailing Address - Phone:615-688-2273
Mailing Address - Fax:615-688-2271
Practice Address - Street 1:207 HIGHWAY 52 BYP W
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1728
Practice Address - Country:US
Practice Address - Phone:615-688-2273
Practice Address - Fax:675-688-2271
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN129421163W00000X
TN26110363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse