Individual
BROOKE WARE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 BRAMBLETON AVE STE 2, ROANOKE, VA 24018-3658
(540) 725-7800
Mailing address
3707 BRAMBLETON AVE STE 2, ROANOKE, VA 24018-3658
(540) 725-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182199
VA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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