Breanna Blackledge
Breanna Blackledge is a Nurse Practitioner in Palm Coast, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Florida.
- Years since qualifying
- 1
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
61 Memorial Medical Pkwy Ste 2811Palm Coast, FL 32164-5999
Phone: (386) 586-1955
Fax: (386) 586-1959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence APRN11044029 (FL) |
|---|
Record details
| NPI number | 1770434524 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2026 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
| Mailing address | 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Palm Coast
-
Mrs. Lara Tripoli Bailey, FNP
52 Forest Grove Dr, Palm Coast, FL 32137-9101 · (860) 819-7917
-
Richard S Bullard, APRN
45 Pittwick Ln, Palm Coast, FL 32164-7003 · (386) 517-4103
-
Mr. Paul Victor Campbell III III, AGNP
800 Belle Terre Pkwy # 200-183, Palm Coast, FL 32164-2314 · (386) 864-9725
-
Alicia Critcher, ARNP
1 Memorial Medical Pkwy Ste 101, Palm Coast, FL 32164-5979 · (386) 586-1523
-
Moises Dobarganes, APRN
4883 Palm Coast Pkwy NW Unit 1, Palm Coast, FL 32137-3675 · (386) 585-4556