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Brandye Nicole Wilson, PA
Physician Assistant in Southaven, Mississippi
NPI 1215189618

Brandye Nicole Wilson is a Physician Assistant based in New Albany, MS. Brandye Nicole Wilson practices in Southaven, MS and has the professional credentials of PA. The NPI Number for Brandye Nicole Wilson is 1215189618 and holds a License No. PA362 (Mississippi).

The current practice location address for Brandye Nicole Wilson is 125 Goodman Rd W Ste D, Southaven, MS and can be reached out via phone at 662-932-3560 and via fax at 662-534-2330. You can also correspond with Brandye Nicole Wilson through the mailing address at 206 OXFORD RD, NEW ALBANY, MS - 38652-3115 (mailing address contact number: 662-534-2227).

Location: 125 Goodman Rd W Ste D, Southaven, MS, 38652-3115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215189618
Provider Name
Brandye Nicole Wilson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
125 Goodman Rd W Ste D, Southaven, MS, 38652-3115
Phone Number
662-932-3560
Fax Number
662-534-2330
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873993 01 MS MS MEDICARE
00133522 05 MS
institution
Provider Business Practice Location Address Details
Address
125 Goodman Rd W Ste D
City
Southaven
State
Mississippi
Zip
38671-9481
Phone Number
662-932-3560
Fax Number
662-534-2330
person
Provider Business Mailing Address Details
Address
206 Oxford Rd
City
New Albany
State
Mississippi
Zip
38652-3115
Phone Number
662-534-2227
Fax Number
662-534-2330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA00448 (Mississippi)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA362 (Arkansas)
Definition
Definition to come...
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