Individual
MRS. BRENDA FAYE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2045 HIGHWAY 61 N, PORT GIBSON, MS 39150-4262
(601) 437-3050
Mailing address
PO BOX 741, PORT GIBSON, MS 39150-0741
(601) 437-3050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872398
MS
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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