Individual
BRANDON J CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2080 S FRONTAGE RD, VICKSBURG, MS 39180-5328
(601) 262-1000
(601) 262-1009
Mailing address
2550 FLOWOOD DR, STE. 402, FLOWOOD, MS 39232-9303
(601) 936-3100
(601) 936-3130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R862029
MS
363LA2100X
Acute Care Nurse Practitioner
R862029
MS
363LF0000X
Family Nurse Practitioner
Primary
862029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06672579
—
MS
05
—
1351237
—
LA
Enumeration date
05/29/2007
Last updated
07/08/2020
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