Individual
MRS. PERSEPHANIE BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1131 MARSTON ST, SUFFOLK, VA 23435-3924
(910) 853-2939
Mailing address
1131 MARSTON ST, SUFFOLK, VA 23435-3924
(910) 853-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001320669
VA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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