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).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Nurse Practitioner · Family | Physician Assistants & Advanced Practice Nursing Providers | 905732 | MS |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| 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 | ||||
| Street Address |
918A MYRTLE ST E |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2312 |
| 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 | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on Brelan Mikal Gardner.
| 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.