Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blakley J Brackett, AGACNP

Individual provider Nurse Practitioner · NPI 1689489544

Blakley J Brackett, AGACNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2023, 3 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

1391 Broad Ave
Gulfport, MS 39501-2419
Phone: (228) 863-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 907156 (MS)

Record details

NPI number1689489544
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedFebruary 10, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gulfport