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General NPI Number Information
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NPI Number | 1760356547
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Entity Type | Individual
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Provider Name | BRIONNA SHAREE FLEENOR FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL PARK BLVD
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City | BRISTOL
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State | TN
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Zip | 37620-7453
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Country | US
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Telephone | 423-844-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 9126 REEDY CREEK RD
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City | BRISTOL
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State | VA
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Zip | 24202-2910
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Country | US
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Telephone | 276-791-0527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 39802
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License Number State | TN
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