| Adam Brenner, | |
|
5192 Highway 11 N, Ellisville, MS 39437-5050 | |
| (601) 649-7921 | |
| (601) 649-7939 |
| Full Name | Adam Brenner |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 5192 Highway 11 N, Ellisville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154065506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 873749 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Brenner, Po Box 113, Laurel, MS 39441-0113 Ph: (601) 649-7921 | Adam Brenner, 5192 Highway 11 N, Ellisville, MS 39437-5050 Ph: (601) 649-7921 |
Denicka Jones, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939 | |
Donnie Pruitt, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 | |
Chloe King, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939 | |
Shawnkita Everett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439 |