Healthcare Provider Details

I. General information

NPI: 1346162476
Provider Name (Legal Business Name): LINDSEY BRANDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8132 CORDOVA RD
CORDOVA TN
38016-6005
US

IV. Provider business mailing address

8132 CORDOVA RD
CORDOVA TN
38016-6005
US

V. Phone/Fax

Practice location:
  • Phone: 901-405-6470
  • Fax:
Mailing address:
  • Phone: 901-405-6470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41670
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: