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Contact Information

BRANDON L JACKSON
400 BRUNSWICK ST
MOORESVILLE, NC28115-2246
 Phone: 704-977-1412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for BRANDON L JACKSON · (Male)

NPI # 1275046153
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2017
Last updated 11/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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