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

Breanna Larae Damron, PA-C

Individual provider Physician Assistant · NPI 1568077808

Breanna Larae Damron, PA-C is a Physician Assistant in Portsmouth, Ohio. Works from 2 locations. Licensed in Kentucky and Ohio.

Licensed in
KY, OH
In the registry since
2020
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Envision Physician Services 1805 27th St
Portsmouth, OH 45662
Phone: (740) 356-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1128 Ramey Ave, Worthington, KY 41183-9229 — (606) 547-5595

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.007373RX (OH)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence TC031 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC031 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC031 (KY)

Record details

NPI number1568077808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESOctober 6, 2023
Certification dateOctober 5, 2023

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