IndividualActive
Adam Brenner
NPI 1154065506 · Registered Nurse · Ellisville, MS
Provider details
- NPI number
- 1154065506
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 873749 (MS)
Practice location
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 649-7921
Fax: (601) 649-7939
Mailing address
Po Box 113
Laurel, MS 39441-0113
Registry dates
- Enumerated
- 2022-04-22
- Last updated
- 2022-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.