Brackenrich, Jamie

Brackenrich, Jamie is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153-7357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brackenrich, Jamie can be contacted via phone (540) 772-3450.

Contact Information

Primary practice address
1802 Braeburn Dr Salem VA 24153-7357
Phone: (540) 772-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024179822 Virginia

Profile Details

NPI number 1356953053
LBN Legal business name Brackenrich, Jamie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Feb 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356953053 NPPES
Virginia Other 0024179822 VIRGINIA BOARD OF NURSING

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