Individual provider · Type 1 NPI

Wendy Winston-Brister

Nurse Practitioner · Jackson, MS

NPI number 1609557396 Active

Practice location

1910 Lakeland Dr Ste B
Jackson, MS 39216-5029

Mailing address

111 Apple Blossom Dr
Brandon, MS 39047-7443

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X906121 (MS)
Family Nurse Practitioner 363LF0000X906121 (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 1609557396

Wendy Winston-Brister's National Provider Identifier is 1609557396, issued on Jul 26, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Mar 24, 2026.