Brenna Black
Student in an Organized Health Care Education/Training Program in Jackson, MS. Individual provider (NPI-1).
NPI number1891636601
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1891636601
- Entity type
- Individual (NPI-1)
- Name
- Brenna Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2026
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-1000
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 601-984-1000
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