Organization
GRAYER PROFESSIONAL NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENILLA VAUGHN NP-C (FAMILY NURSE PRACTITIONER)
(601) 754-5513
Entity
Organization
Contact information
Practice address
4211 NW HIGHWAY 550, UNION CHURCH, MS 39668-7012
(601) 754-5513
Mailing address
747 INDUSTRIAL PARK RD NE, BROOKHAVEN, MS 39601-2065
(601) 754-5513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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