Individual
DANA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5002 HIGHWAY 39 N BLDG C, MERIDIAN, MS 39301-1078
(601) 385-9111
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP127550
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
903935
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149328
MO LICENSE NUMBER
MO
05
—
364281101
—
TX
Enumeration date
10/28/2008
Last updated
03/10/2025
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