BRANDI BURGE WAGNER

JACKSON, MS
NPI1912530569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903822)
Enumeration Date2020-02-21
Last Update Date2020-02-21
Business Address
BRANDI BURGE WAGNER FNP-BC
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1000
Mailing Address
BRANDI BURGE WAGNER FNP-BC
313 RED CEDAR DR
BRANDON, MS 39047-4515
Phone number: 601-215-0194
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