Provider Demographics
NPI:1043729247
Name:LANE, BRANDI CECILE JOINER (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:CECILE JOINER
Last Name:LANE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Mailing Address - Street 1:163 LAKEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31639-6301
Mailing Address - Country:US
Mailing Address - Phone:469-915-4211
Mailing Address - Fax:229-335-8230
Practice Address - Street 1:901 LANGDALE DR STE A
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31639-1364
Practice Address - Country:US
Practice Address - Phone:469-915-4211
Practice Address - Fax:229-335-8230
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN164918363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty