Individual provider · Type 1 NPI

Blakley J. Brackett, AGACNP

Nurse Practitioner · Gulfport, MS

NPI number 1689489544 Active

Practice location

1391 Broad Ave
Gulfport, MS 39501-2419

Call (228) 863-8868 Map

Mailing address

223 41st St
Gulfport, MS 39507-3931

Other practice locations

  • 4500 13th St, Gulfport, MS 39501-2515 · (228) 867-4000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X907156 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689489544

Blakley J. Brackett, AGACNP's National Provider Identifier is 1689489544, issued on Feb 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Mar 21, 2025.