Individual
MR. JACQUELINE RENEE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRESIDENT
Contact information
Practice address
1615 BLACKISTON VIEW DR, CLARKSVILLE, IN 47129-2012
(812) 282-4037
(812) 284-4038
Mailing address
1615 BLACKISTON VIEW DR, CLARKSVILLE, IN 47129-2012
(812) 282-4037
(812) 284-4038
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
71000788A
IN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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