BRANDI RAWLS LOCKLEY FNP RNFA NPI 1457641276

NPI Information

NPI: 1457641276
Provider Name: BRANDI RAWLS LOCKLEY, FNP, RNFA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 579-5459
Get Directions

Brandi Rawls Lockley, FNP, RNFA is a family nurse practitioner in Hattiesburg, MS with 14 years of experience. Brandi Rawls Lockley, FNP, RNFA NPI is 1457641276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 579-5459
Fax: (601) 268-5733

The NPI 1457641276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 7/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	871360	MISSISSIPPI	No
2	363L00000X	Nurse Practitioner		R871360	MISSISSIPPI	No
3	363LF0000X	Nurse Practitioner	Family	871360	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3310161	OTHER	MISSISSIPPI	UHC
2	06136312	OTHER	MISSISSIPPI	MAGNOLIA HEALTH PLAN
3	3310161	OTHER	MISSISSIPPI	UNITED HEALTHCARE
4	06136312	MEDICAID	MISSISSIPPI
5	9779665	OTHER	MISSISSIPPI	AETNA
6	P00974930	OTHER	MISSISSIPPI	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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