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NPI Code Detail

MEDICARE: BREANNA GAIL DUKE FNP-C

MEDICARE: BREANNA GAIL DUKE FNP-C
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
1363LF0000XFamily Nurse Practitioner907995MS

General Provider Information

NPI Number : 1750243317
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA GAIL DUKE FNP-C
Provider Business Mailing Address
First Line : 1325 E FORTIFICATION ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2442
Country : US
Telephone Number : 601-354-4488
Fax Number : 601-351-5980
Provider Business Practice Location Address
First Line : 1325 E FORTIFICATION ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2442
Country : US
Telephone Number : 601-354-4488
Fax Number : 601-351-5980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ BREANNA GAIL DUKE FNP-C” Practice Location

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