Individual
BRANDY LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 W 3RD ST, HASTINGS, NE 68901-4849
(402) 902-0585
Mailing address
1812 W 3RD ST, HASTINGS, NE 68901-4849
(402) 902-0585
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NA
NE
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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