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Contact Information

BRENDA LEIGH B ANTONACCIO
6050 AIRLINE RD STE 109
ARLINGTON, TN38002-4894
 Phone: 901-867-3367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRENDA LEIGH B ANTONACCIO · (Female)

NPI # 1538998265
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2024
Last updated 05/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 36644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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