Individual
BRIANNA ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PEPPER POT PL, ROXBORO, NC 27574-9535
(919) 797-7363
Mailing address
126 PEPPER POT PL, ROXBORO, NC 27574-9535
(919) 797-7363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P022593
NC
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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