Vera Brent, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
NPI 1639033434 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1639033434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 908042 (MS)
- Practice address
- 5632 Clubview Dr
Jackson, MS 39211-4264 - Phone
- (601) 918-9749
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908042 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 908042 | MS | Yes |
Addresses
Primary practice location
5632 Clubview Dr
Jackson, MS 39211-4264
Mailing address
PO Box 12003
Jackson, MS 39236-2003
Phone (601) 918-9749
Other providers in Jackson, MS
- Anna Quinn Breland
- Tobi L Breland
- Barbara Brent
- Demetress Brent
- Lori Beth Brent
- Zeporah Brent
- Brents Drugs Inc
- Brents Drugs of Belhaven
- Joyce Brewer
- Kathleen Boyles Brewer
All providers in Jackson, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.