Individual
MR. BRANTLEY WALLACE CATLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2686 W OXFORD LOOP STE 125, OXFORD, MS 38655-5427
(662) 233-9033
(662) 233-9043
Mailing address
2686 W OXFORD LOOP STE 125, OXFORD, MS 38655-5427
(662) 233-9033
(662) 233-9043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901561
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
901561
MS
Other
Enumeration date
07/21/2016
Last updated
12/21/2023
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