NPI 1043193352

Breanna Humphrey

Practitioner Athletic Trainer Ridgeland, MS

Practice location

Address: 750a Wicklow Pl, Ridgeland, MS 39157-1236
Phone: (601) 540-7780

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043193352
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2025
Record last updated: 26 Jul 2025

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.