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

Hannah Lee Brenner

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083452189

Hannah Lee Brenner is a Nurse Practitioner in West Memphis, Arkansas. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024

Practice location Address checks out

410 S Avalon St
West Memphis, AR 72301-4183
Phone: (901) 621-3966
Fax: (870) 551-9191
Show map & directions

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

Additional practice locations (1)

  • 220 Oak Tree Dr, Hernando, MS 38632-1196 — (662) 510-8606

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 906800 (MS)

Record details

NPI number1083452189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing addressPo Box 770, Hernando, MS 38632-0770

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in West Memphis