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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1306105705 NPPES
Mississippi MEDICAID 08689796

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