Individual
BRIANA N JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S SAGINAW ST, FLINT, MI 48502-1505
(810) 210-3392
Mailing address
20206 BALDWIN CIR, HOLLY, MI 48442-9396
(810) 210-3392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118567
MI
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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