Brittani Self

Individual provider Active NPI Family Nurse Practitioner · Sallis, MS

NPI 1376466912 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1376466912
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
908543 (MS)
Practice address
6851 Attala Road 4202
Sallis, MS 39160-5648
Phone
(601) 259-8382
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 908543 MS Yes

Addresses

Primary practice location

6851 Attala Road 4202
Sallis, MS 39160-5648

Mailing address

6851 Attala Road 4202
Sallis, MS 39160-5648
Phone (601) 259-8382

Other providers in Sallis, MS

All providers in Sallis, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.