Individual provider · Type 1 NPI
Stephanie Brazeal Jackson, NP
Family Nurse Practitioner · Locust Grove, GA
NPI number
1255512984
Active
Practice location
711 Trestle Rd
Locust Grove, GA 30248-3465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN071218 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255512984
Stephanie Brazeal Jackson, NP's National Provider Identifier is 1255512984, issued on Nov 21, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Locust Grove, GA. The record was last updated on Jul 29, 2015.