Individual
BRIANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
318 MAIN ST STE 165, NORTHBOROUGH, MA 01532-3609
(508) 936-1657
Mailing address
55 GREENLAWN AVE, HAVERHILL, MA 01832-4434
(978) 476-5484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102167
MA
Other
Enumeration date
06/28/2024
Last updated
12/11/2025
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