Brandye Nicole Wilson, PA
Brandye Nicole Wilson, PA is a Physician Assistant in Southaven, Mississippi. Qualified in 2008, 18 years ago. Practices with Ortho Express Holding Company, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Arkansas and Mississippi.
- Years since qualifying
- 18
- Licensed in
- AR, MS
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
125 Goodman Rd W Ste DSouthaven, MS 38671-9481
Phone: (662) 932-3560
Fax: (662) 534-2330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA00448 (MS) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA362 (AR) |
Record details
| NPI number | 1215189618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 16, 2008 |
| Last updated in NPPES | September 28, 2020 |
| Certification date | September 28, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Ortho Express Holding Company, Llc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Southaven
-
Jennifer H Stone, PA
7585 Clarington Cv, Southaven, MS 38671-5656 · (662) 349-0200