Individual
JESSICA NICOLE BRICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(804) 828-2207
(804) 828-8300
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192591
VA
367500000X
Certified Registered Nurse Anesthetist
134347
NC
367500000X
Certified Registered Nurse Anesthetist
6544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279434
NC RN
NC
01
—
6544
NC CRNA
NC
Enumeration date
11/04/2020
Last updated
08/22/2025
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