NPI 1275046153
Brandon Lamarr Jackson
Practice location
- Address
- 400 Brunswick St, Mooresville, NC 28115-2246
- Phone
- (704) 977-1412
- Mailing address
- 400 Brunswick St. 420, Mooresville, NC 28115-2246
Registered specialties (2)
Homemaker
Primary
Home Health Aide
Registry record
- NPI
- 1275046153
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Nov 2017
- Record last updated
- 14 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.