IndividualActive
Brae Fannon, RN
NPI 1295877934 · Pediatric Registered Nurse · Fort Benning, GA
Provider details
- NPI number
- 1295877934
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN123234 (GA)
Mailing address
144 Bentwood Dr
Ellerslie, GA 31807-5502
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.