Individual
TOBI L BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5220
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4300, CLINTON, MS 39056-5610
(601) 984-5220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
862455
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0771257
—
MS
05
—
1791164
—
LA
Enumeration date
09/22/2006
Last updated
03/19/2021
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