person
Justin Branham, APRN
Psychiatric/Mental Health Nurse Practitioner in Covington, Kentucky
NPI 1912550526

Justin Branham is a Psychiatric/Mental Health Nurse Practitioner based in Newport, KY and is specialized in Psychiatric/Mental Health. Justin Branham practices in Covington, KY and has the professional credentials of APRN. The NPI Number for Justin Branham is 1912550526 and holds a License No. 3013640 (Kentucky).

The current practice location address for Justin Branham is 1401 Madison Ave, Covington, KY and can be reached out via phone at 859-655-6100. You can also correspond with Justin Branham through the mailing address at 215 E 11TH ST, NEWPORT, KY - 41071-2203 (mailing address contact number: 859-655-6100).

Location: 1401 Madison Ave, Covington, KY, 41071-2203
person
Provider Profile Details
NPI Number
1912550526
Provider Name
Justin Branham
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1401 Madison Ave, Covington, KY, 41071-2203
Phone Number
859-655-6100
Fax Number
Provider Enumeration Date
07/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100613610 01 KY KY MEDICAID
3013640 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
1401 Madison Ave
City
State
Zip
41011-3313
Phone Number
859-655-6100
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Madison Ave
City
State
Zip
41011-3313
Phone Number
859-655-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3013640 (Kentucky)
Definition
Definition to come...
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