Individual
BRIANNA LEE VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
445 WESTERN BLVD STE G, JACKSONVILLE, NC 28546-6852
(910) 333-1323
Mailing address
445 WESTERN BLVD STE G, JACKSONVILLE, NC 28546-6852
(910) 333-1323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019263
NC
Other
Enumeration date
11/14/2023
Last updated
05/10/2025
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