Brandon Blake Teller
FNP-C | Nurse Practitioner
2100 Us-61 N, Vicksburg
Mississippi, 39183-4500
601-415-6161
Brandon Blake Teller is a Vicksburg, Mississippi based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Brandon Blake Teller is F07250420 for Family in Mississippi. His current practice location is 2100 Us-61 N, Vicksburg. Patients can reach him at 601-415-6161. Brandon Blake Teller is FNP-C with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1285477018.
Brandon Blake Teller has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Brandon Blake Teller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Brandon Blake Teller |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-C |
| Practice Address: | 2100 Us-61 N, Vicksburg,
Mississippi, 39183-4500 |
| Phone: | 601-415-6161 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1285477018 |
| NPI Enumeration Date: | 18 Jun, 2024 |
| NPI Last Update On: | 16 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brandon Blake Teller are as mentioned below.
| License Number | Specialization | State | Status | |
| F07250420 | Family | Mississippi | Primary | |
| 918907 | Registered Nurse | Mississippi | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Brandon Blake Teller
2100 Us-61n,
Vicksburg, Mississippi |
| Zip: | 39183-6094 |
| Phone Number: | 601-415-6161 |
Patients can reach Brandon Blake Teller at
2100 Us-61 N, Vicksburg, Mississippi or can
call to book an appointment on 601-415-6161.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.