Phillips, Brenda Lee
Phillips, Brenda Lee is an individual health care provider with primary practice located at 1451 N Lakeland Dr , Meridian MS 39307-9020. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Phillips, Brenda Lee can be contacted via phone (601) 581-8526.Contact Information
Primary practice address
1451 N Lakeland Dr
Meridian MS 39307-9020
Phone: (601) 581-8526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R852932 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R852932 | Mississippi |
Profile Details
| NPI number | 1306105705 |
|---|---|
| LBN Legal business name | Phillips, Brenda Lee |
| Credentials | DNP PMHNP-BC, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2012 |
| Last updated | Jan 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306105705 | NPPES |
| Mississippi | MEDICAID | 08689796 |
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