ANDREA FOUNTAIN BRILES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002624

License Status

ACTIVE

Business

First Name

ANDREA

Middle

FOUNTAIN

Last Name

BRILES

Business Name

ANDREA FOUNTAIN BRILES

Original Issue Date

10/14/2005

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

02/02/2026