Individual provider · Type 1 NPI

Brandon Heath Petty

Nurse Practitioner · Tupelo, MS

NPI number 1073157715 Active

Practice location

499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801-4749

Fax (662) 620-6950

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR903557 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073157715

Brandon Heath Petty's National Provider Identifier is 1073157715, issued on Nov 6, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tupelo, MS. The record was last updated on Nov 6, 2019.