Individual
JACKELYN R BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2281 VALLEY AVE, WINCHESTER, VA 22601-2755
(540) 278-2228
Mailing address
111 FREDERICK RD, STEPHENS CITY, VA 22655-2790
(540) 398-6892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00010153767
VA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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