Individual
BRANDI RENEE GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
20 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-7801
(601) 582-9553
(601) 582-9553
Mailing address
20 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-7801
(601) 582-9553
(601) 582-9553
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R853120
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755393
—
MS
01
—
P00417383
RAILROAD MEDICARE
MS
Enumeration date
03/23/2007
Last updated
04/17/2014
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