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Contact Information

BROOK A JACKSON, FNP
1012 MATTLIND WAY
MILFORD, DE19963-5300
 Phone: 302-424-0600
 Fax: 302-422-6214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BROOK A JACKSON · (Female)

NPI # 1568842037
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/31/2015
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DE License # LG-0011800
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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