Individual provider · Type 1 NPI

Breanna Jade Moss

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1639067077 Active

Practice location

2725 Kirby Rd Ste 11
Memphis, TN 38119-8240

Call (901) 800-4645 Map

Mailing address

2299 Pike Wood Dr
Germantown, TN 38138-4624

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639067077

Breanna Jade Moss's National Provider Identifier is 1639067077, issued on Jun 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jun 25, 2025.