Individual provider · Type 1 NPI

Persephanie Brack, RN

Registered Nurse · Suffolk, VA

NPI number 1699600965 Active

Practice location

1131 Marston St
Suffolk, VA 23435-3924

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X0001320669 (VA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1699600965

Persephanie Brack, RN's National Provider Identifier is 1699600965, issued on Jun 16, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Suffolk, VA. The record was last updated on Jun 16, 2026.