Davis, Brandilyn Rene

Davis, Brandilyn Rene is an individual health care provider with primary practice located at 609 Brunson Dr Ste B , Tupelo MS 38801-4948. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Brandilyn Rene can be contacted via phone (662) 432-1097.

Contact Information

Primary practice address
609 Brunson Dr Ste B Tupelo MS 38801-4948
Phone: (662) 432-1097
Fax: (833) 707-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905144 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 905144 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2023192642 Mississippi

Profile Details

NPI number 1962156190
LBN Legal business name Davis, Brandilyn Rene
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2022
Last updated Apr 6th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962156190 NPPES
Mississippi MEDICAID 03851554

Popular Providers