Individual provider · Type 1 NPI
Brandon Blakely Bisso, NP
Nurse Practitioner · Lagrange, GA
Practice location
1514 Vernon Rd
Lagrange, GA 30240-4131
Mailing address
10545 Summer Creek Dr
Alpharetta, GA 30022-5084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN220792 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1306401260
Brandon Blakely Bisso, NP's National Provider Identifier is 1306401260, issued on May 7, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lagrange, GA. The record was last updated on May 7, 2019.