Individual
BRIYANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 N PLAIN RD, JACKSONVILLE, NC 28546-6760
(910) 298-2331
(910) 375-3031
Mailing address
600 STILLWATER LANDING WAY APT 207, SNEADS FERRY, NC 28460-6931
(434) 579-3386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009500
VA
225X00000X
Occupational Therapist
Primary
15540
NC
225X00000X
Occupational Therapist
61687831
WA
Other
Enumeration date
06/09/2022
Last updated
04/23/2026
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