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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANNA LARAE DAMRON, PA-C

Active

BREANNA LARAE DAMRON, PA-C is a Medical Physician Assistant healthcare provider located in PORTSMOUTH, Ohio. NPI 1568077808 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PORTSMOUTH, OH

Registration Details

NPI Number
1568077808
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2020 (5.9615974155294 yrs)
Last Updated
Oct 6, 2023
Licenses
50.007373RX (OH)
TC031 (KY)
TC031 (KY)
TC031 (KY)

Practice Information

Address
ENVISION PHYSICIAN SERVICES
1805 27TH ST
PORTSMOUTH, OH, 45662
Browse OH providers · Browse ZIP 45662
Phone
7403565000
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Medical Physician Assistant Providers in PORTSMOUTH, OH

Name Credential NPI
MATTHEW DAVID DOUGHMAN PA-C 1801190665
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.