Jackson-Bracey, Nashamba

Jackson-Bracey, Nashamba is an sole proprietor health care provider with primary practice located at 4490 Highway 80 E Ste A , Pearl MS 39208-4213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson-Bracey, Nashamba can be contacted via phone (601) 337-8900.

Contact Information

Primary practice address
4490 Highway 80 E Ste A Pearl MS 39208-4213
Phone: (601) 337-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 881624 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0815355 Mississippi

Profile Details

NPI number 1558812263
LBN Legal business name Jackson-Bracey, Nashamba
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2016
Last updated Apr 14th, 2019 - about 7 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 1558812263 NPPES
Mississippi Other 1740742329 GROUP NUMBER

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