Individual
JASON BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-5959
(334) 528-5899
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-5959
(334) 528-5899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-173706
AL
Other
Enumeration date
06/28/2023
Last updated
09/08/2023
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