Case, Bethany Breland

Case, Bethany Breland is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Case, Bethany Breland can be contacted via phone (601) 815-4128.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 815-4128
Fax: (601) 815-1828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R860365 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R860365 Mississippi

Profile Details

NPI number 1508009382
LBN Legal business name Case, Bethany Breland
Credentials MSN,WHNP-BC, AGNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Jan 13th, 2016 - about 8 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 1508009382 NPPES
Mississippi MEDICAID 03727355

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