| Ashley Dorman Brian, | |
| 
					1201 Highway 49 S Ste 1, Richland, MS 39218-9438  | |
| (601) 973-1576 | |
| (601) 664-0055 | 
| Full Name | Ashley Dorman Brian | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1201 Highway 49 S Ste 1, Richland, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518668201 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905768 (Mississippi) | Primary | 
| Entity Name | Medical Foundation Of Central Mississippi Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380  | 
| Entity Name | Baptist Medical Center - Yazoo, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619918075 PECOS PAC ID: 5799850376 Enrollment ID: O20080815000433  | 
| Entity Name | Mississippi Baptist Medical Center, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467589556 PECOS PAC ID: 9234026600 Enrollment ID: O20110707000181  | 
| Entity Name | Baptist Medical Center-leake, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356626618 PECOS PAC ID: 7214102961 Enrollment ID: O20120112000444  | 
| Entity Name | Bmc - Attala, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023481595 PECOS PAC ID: 6204142771 Enrollment ID: O20160217001680  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ashley Dorman Brian, 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () -  | Ashley Dorman Brian, 1201 Highway 49 S Ste 1, Richland, MS 39218-9438 Ph: (601) 973-1576  | 
Laquana Daniels,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Rhemann Blvd, Richland, MS 39218 Phone: 601-248-5198  | |
Denisa Broome Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 907 Us 49, Richland, MS 39218 Phone: 601-374-5263  | |
Mr. James A Marx, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437  | |
Ashley Smith Allen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 Phone: 769-233-7141  | |
Darby Raybourn Wade, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 128 Riverview Dr, Richland, MS 39218 Phone: 601-326-1960 Fax: 601-326-1706  | |
Carrington Albernise Sallie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 Highway 49 S, Richland, MS 39218 Phone: 601-374-5263  | |
Linda Nell Hunter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S Ste 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-664-0006  |