Individual provider · Type 1 NPI
Brae Acree Fannon, RN
Pediatric Registered Nurse · Fort Benning, GA
NPI number
1295877934
Active
Practice location
7950 Martin Loop
Fort Benning, GA 31905-5647
Mailing address
144 Bentwood Dr
Ellerslie, GA 31807-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | RN123234 (GA) |
Pediatric Registered Nurse: Definition to come...
102 other providers at this address
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Other pediatric registered nurse providers in Fort Benning
About NPI 1295877934
Brae Acree Fannon, RN's National Provider Identifier is 1295877934, issued on Feb 12, 2007. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Fort Benning, GA. The record was last updated on Jul 8, 2007.