Catlette, Brantley Wallace

Catlette, Brantley Wallace is an individual health care provider with primary practice located at 2686 W Oxford Loop Ste 125 , Oxford MS 38655-5427. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Catlette, Brantley Wallace can be contacted via phone (662) 233-9033.

Contact Information

Primary practice address
2686 W Oxford Loop Ste 125 Oxford MS 38655-5427
Phone: (662) 233-9033
Fax: (662) 233-9043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 901561 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 901561 Mississippi

Profile Details

NPI number 1194178475
LBN Legal business name Catlette, Brantley Wallace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Dec 21st, 2023 - about 2 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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