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Individual

JAMIE BRANTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1300 HOSPITAL DR STE 300, FREDERICKSBURG, VA 22401-8451
(540) 656-2830
Mailing address
11620 RUTHERFORD DR, FREDERICKSBURG, VA 22407-6499
(540) 760-4807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178729
VA

Other

Enumeration date
03/16/2020
Last updated
03/16/2020
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