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Brandon Gary Allen, FNP-C, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Meridian, MS. Individual provider (NPI-1).

NPI number1073091963
StatusActive
Last updated in NPPESApr 17, 2024

Details

NPI
1073091963
Entity type
Individual (NPI-1)
Name
Brandon Gary Allen
Credential
FNP-C, PMHNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 1, 2018
Certification date
Apr 17, 2024
Last updated
Apr 17, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health902766MSYes
163W00000X Registered Nurse876372MS
363LF0000X Nurse Practitioner, Family902766MS

Practice location

2402a Long Creek Rd
Meridian, MS 39301-7594

Phone 601-490-9410 · Fax 855-852-1209

Mailing address

2402a Long Creek Rd
Meridian, MS 39301-7594

Phone 601-490-9410

Other practice locations

6405 Hwy 45 S
Meridian, MS 39301

Phone 601-282-3271 · Fax 855-852-1209

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Meridian, MS

All 51 Psychiatric/Mental Health Nurse Practitioner providers in Meridian · All 1,794 providers in Meridian

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