Individual
REBECCA JILL BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Mailing address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004991
NC
363LF0000X
Family Nurse Practitioner
Primary
195045
GA
363LF0000X
Family Nurse Practitioner
Primary
4041
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195045
GEORGIA BOARD OF NURSING
GA
01
—
4041
SC BOARD OF NURSING
SC
Enumeration date
11/01/2009
Last updated
04/27/2026
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