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MRS. BRENDA FAYE COLLINS FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861930851

Individual Registrant:
MRS. BRENDA FAYE COLLINS FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2045 HIGHWAY 61 N  PORT GIBSON, MS 39150-4262 US
Tel: 601-437-3050  Fax: --

Contact information for business:
PO BOX 741  PORT GIBSON, MS 39150-0741 US
Tel: 601-437-3050  Fax: --

Registration Information:
NPI: 1861930851
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MSR872398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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