MRS. Stephanie Brazeal Jackson, NP
NPI #1255512984 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1255512984
- Entity Type
- Individual
- Name
- MRS. Stephanie Brazeal Jackson, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Nov 21, 2007
- Last Updated
- Jul 29, 2015
Practice Location
- Address
- 711 TRESTLE RD
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3465
- Phone
- (770) 914-5934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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