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Jamie Brackenrich, FNP
Family Nurse Practitioner in Salem, Virginia
NPI 1356953053

Jamie Brackenrich is a Family Nurse Practitioner based in Roanoke, VA and is specialized in Family. Jamie Brackenrich practices in Salem, VA and has the professional credentials of FNP. The NPI Number for Jamie Brackenrich is 1356953053 and holds a License No. 0024179822 (Virginia).

The current practice location address for Jamie Brackenrich is 1802 Braeburn Dr, Salem, VA and can be reached out via phone at 540-772-3450.

Location: 1802 Braeburn Dr, Salem, VA, 24018-6839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356953053
Provider Name
Jamie Brackenrich
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1802 Braeburn Dr, Salem, VA, 24018-6839
Phone Number
540-772-3450
Fax Number
Provider Enumeration Date
08/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024179822 01 VA VIRGINIA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3450
Fax Number
person
Provider Business Mailing Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024179822 (Virginia)
Definition
Definition to come...
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