Brelan Mikal Gardner
Nurse Practitioner (Family)

Address: 918a Myrtle St E, Philadelphia, MS 39350-2312
Phone: 6626940035

Brelan Mikal Gardner (NPI# 1972216240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1972216240
Entity Type Individual
Full Name Brelan Mikal Gardner
Credential FNP
Gender Male
Practice Address 918a Myrtle St E
Philadelphia
MS 39350-2312
Practice Telephone 6626940035
Mailing Address 918a Myrtle St E
Philadelphia
MS 39350-2312
Mailing Telephone 6626940035
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2023-01-03
Last Update Date 2023-01-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 905732 MS

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437863206 Donnamarie Giuffrida 3 Crescent Dr, Philadelphia, PA 19112-1016 2023-01-06
1295448181 Karen Franklin 3400 Spruce St, Philadelphia, PA 19104-4238 2023-01-05
1538872114 Natalia Zakharova 5501 Old York Rd, Philadelphia, PA 19141-3018 2022-12-28
1871205013 Susan Brophy 3401 N Broad St, Philadelphia, PA 19140-5189 2022-12-20
1356053730 Nicole Heston 10800 Knights Rd, Philadelphia, PA 19114-4200 2022-12-19
1952013641 Diamond M Quick 1500 Spruce St, Philadelphia, PA 19102-4502 2022-12-14
1952011660 Maria Cristina Leon-paez 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 2022-12-05
1548970809 Arthur Khachaturyan 2451 Grant Ave, Philadelphia, PA 19114-1031 2022-11-28
1497464911 Diane Sirajudeen 333 Cottman Ave, Philadelphia, PA 19111-2434 2022-11-23
1912616574 Natalie Noelle Fleagle 1530 Forrestal St, Philadelphia, PA 19145-5828 2022-11-22
Find all providers in PHILADELPHIA

Office Location

Street Address 918A MYRTLE ST E
City PHILADELPHIA
State MS
Zip Code 39350-2312

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093423550 Kiara Cunningham 921 W Beacon St, Philadelphia, MS 39350-3229 2022-11-14
1184347296 Alisha Denise Jones 1001 Holland Ave, Philadelphia, MS 39350-2161 2022-09-22
1881312353 Insight Counseling & Consulting, LLC 907 Carter Ave, Suite #3, Philadelphia, MS 39350 2022-08-19
1710605241 Kaleigh Weems 10120 Road 2444, Philadelphia, MS 39350-8008 2022-08-19
1346968146 Anna Catherine Lewis 1017 W Beacon St, Philadelphia, MS 39350-3218 2022-08-17
1811625627 Shelly Lee Dowell 921 W Beacon St, Philadelphia, MS 39350-3229 2022-08-10
1881329100 Veronica Posey 1120 E Main St Ste 25, Philadelphia, MS 39350-2300 2022-07-20
1235864729 Jessica Tucker 10803 Road 614, Philadelphia, MS 39350-5643 2022-07-19
1770216160 Finding Hope Counseling Services 14741 Highway 16 W, Philadelphia, MS 39350-6755 2022-07-05
1730811944 Line Street Medical Clinic 562 Line St S Bldg A, Philadelphia, MS 39350-2144 2022-06-27
Find all providers in zip 39350

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 39350

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.