Individual provider · Type 1 NPI

Brent Lee Hallmark, MSN, APRN, FNP-C

Family Nurse Practitioner · Tupelo, MS

NPI number 1093313397 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

108 Burma Cv
Saltillo, MS 38866-6992

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904192 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1093313397

Brent Lee Hallmark, MSN, APRN, FNP-C's National Provider Identifier is 1093313397, issued on Oct 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Oct 9, 2020.