Individual
BRANDY ALEXANDRA RUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1059 RIDGEWOOD PL, JACKSON, MS 39211-2018
(601) 957-3211
Mailing address
1020 CUMBERLAND DR, BRANDON, MS 39047-7903
(601) 951-8993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904379
MS
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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