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Breanna Renee Bray
Student in an Organized Health Care Education/Training Program in Pontotoc, Mississippi
NPI 1205442746

Breanna Renee Bray is a Student in an Organized Health Care Education/Training Program based in Pontotoc, MS. Breanna Renee Bray practices in Pontotoc, MS. The NPI Number for Breanna Renee Bray is 1205442746 and holds a License No. 904511 (Mississippi).

The current practice location address for Breanna Renee Bray is 392 Pineridge Dr, Pontotoc, MS and can be reached out via phone at 662-296-0020.

Location: 392 Pineridge Dr, Pontotoc, MS, 38863-3706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205442746
Provider Name
Breanna Renee Bray
Credential
Provider Entity Type
Individual
Gender
Female
Address
392 Pineridge Dr, Pontotoc, MS, 38863-3706
Phone Number
662-296-0020
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
392 Pineridge Dr
City
Pontotoc
State
Mississippi
Zip
38863-3706
Phone Number
662-296-0020
Fax Number
person
Provider Business Mailing Address Details
Address
392 Pineridge Dr
City
Pontotoc
State
Mississippi
Zip
38863-3706
Phone Number
662-296-0020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
904511 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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