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

Breonna Baltimore

Individual provider Case Manager/Care Coordinator · NPI 1508751702

Breonna Baltimore is a Case Manager/Care Coordinator in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4780 I 55 N Ste 105
Jackson, MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1508751702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address4780 I 55 N Ste 105, Jackson, MS 39211-5542

Other providers in Jackson