Individual
BRIE JOELLE MUCCI-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 555-1222
Mailing address
4071 LB MCLEOD RD, STE D #241, ORLANDO, FL 32811-5662
(813) 382-5147
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
XXXXXXX
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/15/2026
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