IndividualActive
Jacqueline Brannon, PRESIDENT
NPI 1962553115 · Occupational Health Nurse Practitioner · Clarksville, IN
Provider details
- NPI number
- 1962553115
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PRESIDENT
- Sex
- Female
- Sole proprietor
- No
- License
- 71000788A (IN)
Practice location
1615 Blackiston View Dr
Clarksville, IN 47129-2012
Phone: (812) 282-4037
Fax: (812) 284-4038
Mailing address
1615 Blackiston View Dr
Clarksville, IN 47129-2012
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.