Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA BLACKWELL
Active Sole ProprietorBREANNA BLACKWELL is a Podiatric Surgery healthcare provider located in CHUNKY, Mississippi. NPI 1326688664 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · CHUNKY, MS
Registration Details
- NPI Number
- 1326688664
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2020 (6.5806774427959 yrs)
- Last Updated
- Jan 15, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
12451C HIGHWAY 80CHUNKY, MS, 393239692Browse MS providers · Browse ZIP 39323
- Phone
- 6016858203
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.