Breland, Jessica

Breland, Jessica is an individual health care provider with primary practice located at 6414 Highway 98 West Suite 120, Hattiesburg MS 39402. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Breland, Jessica can be contacted via phone (601) 296-2833.

Contact Information

Primary practice address
6414 Highway 98 West Suite 120 Hattiesburg MS 39402
Phone: (601) 296-2833
Fax: (601) 261-5175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D1837 Mississippi

Profile Details

NPI number 1538799275
LBN Legal business name Breland, Jessica
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Aug 24th, 2020 - about 5 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 1538799275 NPPES
Mississippi MEDICAID 06477724

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