Healthcare Provider Details

I. General information

NPI: 1811803737
Provider Name (Legal Business Name): BRIANA JAMES QUINN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HWY 30 W
NEW ALBANY MS
38652-3197
US

IV. Provider business mailing address

351 COUNTY ROAD 309
FALKNER MS
38629-9227
US

V. Phone/Fax

Practice location:
  • Phone: 662-538-7631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908707
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: