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Individual

BROOK ANDERSON JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1012 MATTLIND WAY, MILFORD, DE 19963-5300
(302) 424-0600
(302) 422-6214
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0011800
DE

Other

Enumeration date
05/31/2015
Last updated
05/17/2023
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