IndividualActive
Brenilla Vaughn, FNP
NPI 1669937611 · Nurse Practitioner · Brookhaven, MS
Provider details
- NPI number
- 1669937611
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 902851 (MS)
Practice location
747 Industrial Park Rd Ne
Brookhaven, MS 39601-2065
Phone: (601) 833-4111
Mailing address
747 Industrial Park Rd Ne
Brookhaven, MS 39601-2065
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.