Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 21308 | TN |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 21308 | TN |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 21308 | TN |
NPI | 1295186260 |
---|---|
Provider Name | Dr. Brandon Swain Toney |
First Address | Collierville, TN 38017-3946 |
Second Address | Collierville, TN 38017-3946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2016 |
Last Update Date | 30/06/2016 |