MISS SABRINA KATHLENE BRACKETT
NPI 1104396431
Technician, Pathology - Medical Laboratory in Old Fort, TN
Active since November 29, 2018
About Miss Sabrina Kathlene Brackett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS SABRINA KATHLENE BRACKETT (NPI 1104396431) is an individual medical laboratory provider in Old Fort, Tennessee and active in the NPI registry since November 2018.
NPPES Registry Identity
NPI1104396431
Entity TypeIndividualFemale
Primary Taxonomy246RM2200X
Provider Legal NameMISS SABRINA KATHLENE BRACKETT
Location Address1498 BOANERGES CHURCH RDOld Fort, TN 37362-7028
Mailing Address1498 Boanerges Church RdOld Fort, TN 37362-7028 · (423) 457-0639
Phone(423) 457-0639
Sole ProprietorYes
Enumeration DateNovember 29, 2018
✔ NPI 1104396431 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
1498 BOANERGES CHURCH RD, Old Fort, TN 37362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104396431, enumerated as an "individual" on November 29, 2018.
The provider is located at 1498 BOANERGES CHURCH RD OLD FORT, TN 37362 and the phone number is (423) 457-0639.
Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.