Individual
BRIANNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
2275 N VOLUSIA AVE STE 200, ORANGE CITY, FL 32763-2833
(904) 514-4928
Mailing address
2728 ENTERPRISE RD STE 200, ORANGE CITY, FL 32763-8276
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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