Jackson, Kristin Bravenec

Jackson, Kristin Bravenec is an individual health care provider with primary practice located at 100 Medical Dr , Lake Jackson TX 77566-5674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Kristin Bravenec can be contacted via phone (979) 285-1170.

Contact Information

Primary practice address
100 Medical Dr Lake Jackson TX 77566-5674
Phone: (979) 285-1170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP130196 Texas

Profile Details

NPI number 1215308143
LBN Legal business name Jackson, Kristin Bravenec
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Jan 3rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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