Whalio Doctors

NPI 1013669019

Leigh Allyson Brantley, CRNA

Practitioner Registered Nurse Jackson, MS

Practice location

Address
2500 N State St, Jackson, MS 39216-4500
Phone
(601) 984-1000
Mailing address
225 Ashton Way, Brandon, MS 39047-4509

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 902448 (MS)

Registry record

NPI
1013669019
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jan 2022
Record last updated
20 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.