Sara Brackeen
Individual provider Active NPI Community Health Registered Nurse · Union City, TN
NPI 1992572838 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1992572838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 0000206702 (TN)
- Practice address
- 1008 Mount Zion Rd
Union City, TN 38261-7694 - Phone
- (731) 885-8722
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000206702 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 0000206702 | TN | Yes |
Addresses
Primary practice location
1008 Mount Zion Rd
Union City, TN 38261-7694
Mailing address
1008 Mount Zion Rd
Union City, TN 38261-7694
Phone (731) 885-8722
Other providers in Union City, TN
- Alissa S Bennett
- Edna M Black
- Marvin Asbury Blanton III
- James Dylan Bondurant
- Boyce Randall Leduke DDS
- Samuel W Bradberry
- Melinda Brooks
- Bruce B Brown
- Tony Brown
- Tye D Browning
All providers in Union City, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.