Individual
MRS. BREANNA RENEE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 BROOKS XING, PONTOTOC, MS 38863-1009
(662) 489-4044
(662) 489-4041
Mailing address
12 BROOKS XING, PONTOTOC, MS 38863-1009
(662) 489-4044
(662) 489-4041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904511
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/21/2020
Last updated
09/08/2025
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