Individual
BRANDON J JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
112 KIMBALL AVE, PENN YAN, NY 14527-1816
(315) 536-2752
Mailing address
601B W. WASHNGTON ST., GENEVA, NY 14456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
356791
NY
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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