Brewer, Linda

Brewer, Linda is an sole proprietor health care provider with primary practice located at 610 Second St , Pelahatchie MS 39145-3135. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brewer, Linda can be contacted via phone (601) 854-5044.

Contact Information

Primary practice address
610 Second St Pelahatchie MS 39145-3135
Fax: (601) 854-8448
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R544787 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R544787 Mississippi

Profile Details

NPI number 1134160518
LBN Legal business name Brewer, Linda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Feb 26th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134160518 NPPES
Mississippi MEDICAID 00114606

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