Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda L Stallion-Pate, FNP

Individual provider Family Nurse Practitioner · NPI 1386246569

Brenda L Stallion-Pate, FNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2020, 6 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1190 N State St
Jackson, MS 39202
Phone: (601) 292-4292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 94221 (MS)

Record details

NPI number1386246569
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 12, 2020
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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