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NPI Code Detail

MEDICARE: BREAUNNA TIGNOR

MEDICARE: BREAUNNA TIGNOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantWV

General Provider Information

NPI Number : 1326994591
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREAUNNA TIGNOR
Provider Business Mailing Address
First Line : 5512 BIG TYLER RD
Second Line :
City : CROSS LANES
State : WV
Zip : 25313-1304
Country : US
Telephone Number : 304-766-9830
Fax Number :
Provider Business Practice Location Address
First Line : 5512 BIG TYLER RD
Second Line :
City : CROSS LANES
State : WV
Zip : 25313-1304
Country : US
Telephone Number : 304-766-9830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ BREAUNNA TIGNOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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