Individual
MRS. JACQUELINE JOYCE BRABANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
166 PLAINS RD, CANTON, NY 13617-3291
(315) 386-1228
Mailing address
166 PLAINS RD, CANTON, NY 13617-3291
(315) 386-1228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
327469-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
019238
IL
Other
Enumeration date
11/13/2006
Last updated
09/11/2025
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