IndividualActive
Brandi Tynes
NPI 1639547425 · Family Nurse Practitioner · Laurel, MS
Provider details
- NPI number
- 1639547425
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NP 901423 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1410 Jefferson St
Laurel, MS 39440-4243
Phone: (601) 425-7522
Fax: (601) 649-3551
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 247
Laurel, MS 39441-0247
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2016-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.