Brent Fondshay Broome, CNA

NPI #1144548744 in Moselle, Mississippi

Provider Information

NPI Number: 1144548744
Entity Type: Individual
Name: Brent Fondshay Broome, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Attendant Care Provider
Credential: CNA
Enumeration Date: May 7, 2010
Last Updated: Jan 17, 2026

Practice Location

Address: 6 DAVID PATTERSON RD
City: Moselle
State: Mississippi
ZIP Code: 39459
Phone: (601) 596-3786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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