Individual
ALLEN BRELAND YELVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3317 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5578
(601) 636-1173
(601) 638-8287
Mailing address
2200 HIGHWAY 61 N, VICKSBURG, MS 39183-8246
(601) 883-3391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902697
MS
Other
Enumeration date
06/22/2018
Last updated
04/16/2026
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