Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRANDY BLACKSTON, PA-C
Active Sole ProprietorMRS. BRANDY BLACKSTON, PA-C is a Medical Physician Assistant healthcare provider located in BERKLEY, Michigan. NPI 1790158392 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BERKLEY, MI
Registration Details
- NPI Number
- 1790158392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2015 (10.813244575454 yrs)
- Last Updated
- Jul 22, 2022
- License
-
5601007562 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27901 WOODWARD AVE STE 300BERKLEY, MI, 480720921Browse MI providers · Browse ZIP 48072
- Phone
- 2485450070
- Fax
- 2485454850
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BERKLEY, MI
| Name | Credential | NPI |
|---|---|---|
| KENNETH JACKSON | PA-C | 1033238936 |
| MR. CALEB ANTHONY YOUNGBLOOD | MMS, PA-C | 1235366014 |
| VICTORIA THERESE VOROS | PA-C | 1316224108 |
| LAUREN NABORCZYK | PA-C | 1487035275 |
| MARK ROSEN | PA-C | 1588101091 |
| CLAIRE WILSON | — | 1760999049 |
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.