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

Brandi Burge Wagner, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1912530569

Brandi Burge Wagner, FNP-BC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with Mississippi Physicians LLP, a 23-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 968-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903822 (MS)

Record details

NPI number1912530569
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mississippi Physicians Llp — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson