Individual
BREANNE NUNNALLY LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
7148 U S HIGHWAY 98 STE 102, HATTIESBURG, MS 39402-9133
(601) 475-8270
(769) 207-6209
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870133
MS
363LF0000X
Family Nurse Practitioner
RN211057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09701839
—
MS
01
—
2270698
CIGNA
MS
01
—
3514174
UNITED HEALTHCARE
MS
01
—
9634922
AETNA
MS
Enumeration date
09/27/2006
Last updated
04/27/2026
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