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1033720701
BRANDI JACKSON
TUSCUMBIA, AL
NPI
1033720701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-108915)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
Mrs. BRANDI JACKSON CRNP
TENNESSEE VALLEY PEDIATRICS 234 KELLER PARK
TUSCUMBIA, AL 35674
Phone number: 256-381-6963
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Mailing Address
Mrs. BRANDI JACKSON CRNP
5551 COUNTY ROAD 63
KILLEN, AL 35645
Phone number: 256-710-7277
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