ADAM BRENNER
NPI 1154065506
Registered Nurse in Ellisville, MS

Q: What is Adam Brenner's NPI number?

The NPI number for Adam Brenner is 1154065506. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Adam Brenner's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Brenner was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2022

5192 HIGHWAY 11 N, ELLISVILLE, MS 39437(601) 649-7921(601) 649-7939 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Adam Brenner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM BRENNER (NPI 1154065506) is an individual registered nurse in Ellisville, Mississippi, licensed in Mississippi (873749) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1154065506

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameADAM BRENNER

Location Address5192 HIGHWAY 11 NEllisville, MS 39437-5050

Mailing AddressPo Box 113Laurel, MS 39441-0113 · (601) 649-7921 · Fax (601) 649-7939

Phone(601) 649-7921

Fax(601) 649-7939

Sole ProprietorNo

Enumeration DateApril 22, 2022

NPPES CertifiedApril 22, 2022

✔ NPI 1154065506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MS · 873749

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

5192 HIGHWAY 11 N, Ellisville, MS 39437

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGHANNE KITTRELL

Counselor