Provider Demographics
NPI:1356107452
Name:WILLIAMS, BRANDY TRAMEL (DNP, PMHNP)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:TRAMEL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:TRAMEL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP-BC
Mailing Address - Street 1:18 COUNTY ROAD 403
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9411
Mailing Address - Country:US
Mailing Address - Phone:662-816-7839
Mailing Address - Fax:
Practice Address - Street 1:26 COUNTY ROAD 403
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-9411
Practice Address - Country:US
Practice Address - Phone:662-816-7839
Practice Address - Fax:662-200-5935
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906548363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health