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

Brelynn Dubose

Individual provider Physician Assistant · NPI 1811602246

Brelynn Dubose is a Physician Assistant in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with ED Physicians of West Louisiana, LLC, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2023

Practice location Address checks out

1225 N State St Ste 100
Jackson, MS 39202-2064
Phone: (601) 714-6400
Fax: (601) 714-6499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 Jackson St, Monroe, LA 71201-7407 — (318) 966-4000
  • 1225 N State St, Jackson, MS 39202-2064 — (601) 968-5003

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01041 (MS)

Record details

NPI number1811602246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address350 N Humphreys Blvd, Memphis, TN 38120-2177

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ed Physicians Of West Louisiana, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson