Individual
MRS. BRANDY DIANNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5907 HIGHWAY 90, PASCAGOULA, MS 39563-6536
(228) 934-2481
Mailing address
PO BOX 36258, BELFAST, ME 04915-1204
(251) 318-2678
(251) 405-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
851992
MS
363LP2300X
Primary Care Nurse Practitioner
R851992
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003524746
—
MS
Enumeration date
01/08/2015
Last updated
11/08/2024
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