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1144036302
BRANDI FAYE JACKSON
TEMPLE, TX
NPI
1144036302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: TX 1178423)
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
BRANDI FAYE JACKSON CPNP-AC
3913 DOVE LN
TEMPLE, TX 76502-2435
Phone number: 210-867-1985
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Mailing Address
BRANDI FAYE JACKSON CPNP-AC
3913 DOVE LN
TEMPLE, TX 76502-2435
Phone number: 210-867-1985
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