Individual
JESSICA BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6414 HIGHWAY 98 WEST, SUITE 120, HATTIESBURG, MS 39402
(601) 296-2833
(601) 261-5175
Mailing address
74 CEDAR GROVE RD, PETAL, MS 39465-5201
(601) 543-3392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1837
MS
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
D1837
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06477724
—
MS
Enumeration date
01/22/2020
Last updated
05/02/2025
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