Individual
JENNIFER BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6750 NEWELL RD, MERIDIAN, MS 39305-9616
(601) 485-4882
Mailing address
301 46TH CT, MERIDIAN, MS 39305-2812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R862322
MS
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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