MS. BRENDA LEE PHILLIPS DNP PMHNP-BC FNP-BC NPI 1306105705

NPI Information

NPI: 1306105705
Provider Name: MS. BRENDA LEE PHILLIPS, DNP PMHNP-BC, FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1451 N LAKELAND DR
MERIDIAN, MS
ZIP 39307
Phone: (601) 581-8526
Get Directions

MS. Brenda Lee Phillips, DNP PMHNP-BC, FNP-BC is a psychiatric/mental health nurse practitioner in Meridian, MS. MS. Brenda Lee Phillips, DNP PMHNP-BC, FNP-BC NPI is 1306105705. 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:

1451 N LAKELAND DR
MERIDIAN, MS
ZIP 39307-020
Phone: (601) 581-8526

The NPI 1306105705 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 5/7/2012 and was last updated on 1/23/2020.

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	363LF0000X	Nurse Practitioner	Family	R852932	MISSISSIPPI	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R852932	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	08689796	MEDICAID	MISSISSIPPI

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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