Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent Lee Hallmark, MSN, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1093313397

Brent Lee Hallmark, MSN, APRN, FNP-C is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2020, 6 years ago. Practices with Boa Vida Hospital of Aberdeen MS LLC, a 70-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?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-3000
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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 904192 (MS)

Record details

NPI number1093313397
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APRN , FNP-C
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESOctober 9, 2020
Certification dateSeptember 30, 2020

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 Boa Vida Hospital Of Aberdeen Ms Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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