Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDYE NICOLE WILSON, P.A.
ActiveBRANDYE NICOLE WILSON, P.A. is a Physician Assistant healthcare provider located in SOUTHAVEN, Mississippi. NPI 1215189618 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1215189618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2008 (17.682803749734 yrs)
- Last Updated
- Sep 28, 2020
- Licenses
-
PA362 (AR)PA00448 (MS)
Practice Information
- Address
-
125 GOODMAN RD W STE DSOUTHAVEN, MS, 386719481Browse MS providers · Browse ZIP 38671
- Phone
- 6629323560
- Fax
- 6625342330
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| PAMELA LYNN DAVIS | PAC | 1275544397 |
| MR. BRENT AUSTIN SMOYER | PA-C | 1457647414 |
| DONALD WAYNE WASHBURN III | — | 1255748604 |
| WESLEY BOYD | PA | 1386097921 |
| JENNA LEANNE REID | PA-C | 1699220905 |
| NIKARA KILPATRICK | P.A. | 1134675465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.