Individual provider · Type 1 NPI

Tara Brunson

Driver · Cordova, TN

NPI number 1487407995 Active

Practice location

1560 Cedar Farms Cv
Cordova, TN 38016-6143

Call (901) 287-0704 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X080511698 (TN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1487407995

Tara Brunson's National Provider Identifier is 1487407995, issued on Apr 8, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Cordova, TN. The record was last updated on Apr 8, 2024.