Provider Demographics
NPI:1538409511
Name:SENSING, BRENDA
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:SENSING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:GUNTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:38849-0156
Mailing Address - Country:US
Mailing Address - Phone:662-348-2002
Mailing Address - Fax:662-348-2001
Practice Address - Street 1:571 MITCHELL ROAD
Practice Address - Street 2:
Practice Address - City:GUNTOWN
Practice Address - State:MS
Practice Address - Zip Code:38849-5504
Practice Address - Country:US
Practice Address - Phone:662-348-2002
Practice Address - Fax:662-348-2001
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP318239363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily