Individual
MRS. BRANDI FENNELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8000
Mailing address
14 E SPRUCE, SUMRALL, MS 39482-5476
(256) 740-2632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906743
MS
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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