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

Brianna Michelle Pendergrass, FNP-BC

Individual provider Family Medicine Physician · NPI 1518522283

Brianna Michelle Pendergrass, FNP-BC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
8
Licensed in
MS, TN
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 351-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2605 Courthouse Cir, Flowood, MS 39232-9521 — (601) 397-6147

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904177 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 904177 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25671 (TN)

Record details

NPI number1518522283
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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