Provider Demographics
NPI:1851071591
Name:VINCENT, BRANDI JAMAR (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:JAMAR
Last Name:VINCENT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 LILY WALK
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2936
Mailing Address - Country:US
Mailing Address - Phone:252-883-5302
Mailing Address - Fax:
Practice Address - Street 1:114 MARKET ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NC
Practice Address - Zip Code:27823-1423
Practice Address - Country:US
Practice Address - Phone:252-445-2332
Practice Address - Fax:252-445-2983
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018425363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily