Teller, Brandon Blake

Teller, Brandon Blake is an sole proprietor health care provider with primary practice located at 2100 Us-61 N , Vicksburg MS 39183-4500. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Teller, Brandon Blake can be contacted via phone (601) 415-6161.

Contact Information

Primary practice address
2100 Us-61 N Vicksburg MS 39183-4500
Phone: (601) 415-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 918907 Mississippi

Profile Details

NPI number 1285477018
LBN Legal business name Teller, Brandon Blake
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2024
Last updated Jun 18th, 2024 - about 3 months 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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