Individual provider · Type 1 NPI

Thomas Jesse Brandon, NP

Gerontology Nurse Practitioner · Lenexa, KS

NPI number 1184018558 Active

Practice location

10101 Renner Blvd
Lenexa, KS 66219-9752

Fax (913) 859-6887

Mailing address

25373 Van Dyke Ave
Center Line, MI 48015-1425

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704243187 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1184018558

Thomas Jesse Brandon, NP's National Provider Identifier is 1184018558, issued on Mar 24, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lenexa, KS. The record was last updated on Sep 6, 2015.