IndividualActive
Brandalon Fly, APRN, FNP-BC
NPI 1023715968 · Family Nurse Practitioner · Collierville, TN
Provider details
- NPI number
- 1023715968
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 905911 (MS)
Practice location
240 New Byhalia Rd
Collierville, TN 38017-3716
Phone: (901) 492-4920
Mailing address
150 Cotton Gin Rd
Rossville, TN 38066-5028
Registry dates
- Enumerated
- 2023-02-10
- Last updated
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.