Provider Demographics
NPI:1770788895
Name:BRANCH, JANAAN MANNEY (RN)
Entity type:Individual
Prefix:
First Name:JANAAN
Middle Name:MANNEY
Last Name:BRANCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANAAN
Other - Middle Name:ELIZABETH
Other - Last Name:MANNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT 888182
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37995-8182
Mailing Address - Country:US
Mailing Address - Phone:800-355-3565
Mailing Address - Fax:423-714-2355
Practice Address - Street 1:627 SMITHVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803
Practice Address - Country:US
Practice Address - Phone:865-380-4390
Practice Address - Fax:865-380-4396
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN155287163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health