Brantley, Dana

Brantley, Dana is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Brantley, Dana can be contacted via phone (601) 484-6700.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 484-6700
Fax: (601) 703-3024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP127550 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 903935 Mississippi

Profile Details

NPI number 1649423237
LBN Legal business name Brantley, Dana
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jul 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649423237 NPPES
Missouri Other 149328 MO LICENSE NUMBER
Missouri MEDICAID 364281101 MO LICENSE NUMBER

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