Individual
BRANDI GRAY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1801 HICKORY ST, ABILENE, TX 79601-2333
(325) 670-4020
Mailing address
1801 HICKORY ST, ABILENE, TX 79601-2333
(325) 670-4020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
670599
TX
Other
Enumeration date
07/11/2007
Last updated
02/27/2019
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