Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Brenner

Individual provider Registered Nurse · NPI 1154065506

Adam Brenner is a Registered Nurse in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 649-7921
Fax: (601) 649-7939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 873749 (MS)

Record details

NPI number1154065506
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022
Mailing addressPo Box 113, Laurel, MS 39441-0113

Other providers in Ellisville