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DR. BRANDIE JACKSON, LLC
NPI 1073104089
Home Health in Williamsburg, VA

Active since February 01, 2021
3902 ROCHAMBEAU DR, WILLIAMSBURG, VA 23188(757) 707-0945 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandie Jackson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDIE JACKSON, LLC (NPI 1073104089) is a healthcare organization registered as a home health in Williamsburg, Virginia and active in the NPI registry since February 2021. The organization lists Brandie Jackson Tena, Doctor Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1073104089
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDR. BRANDIE JACKSON, LLC
Location Address3902 ROCHAMBEAU DRWilliamsburg, VA 23188-6620
Mailing Address3902 Rochambeau DrWilliamsburg, VA 23188-6620 · (757) 707-0945
Phone(757) 707-0945
Organization SubpartNo
Authorized OfficialBrandie Jackson TenaDoctor Of Physical Therapy · (757) 707-0945
Enumeration DateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
✔ NPI 1073104089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3902 ROCHAMBEAU DR, Williamsburg, VA 23188
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Brandie Jackson, LLC's NPI number?

The NPI number for Dr. Brandie Jackson, LLC is 1073104089. It was assigned to this organization in the NPPES registry on February 1, 2021.

Where is Dr. Brandie Jackson, LLC located?

Dr. Brandie Jackson, LLC is located at 3902 Rochambeau Dr, Williamsburg, VA 23188. The listed phone number is (757) 707-0945.

What is Dr. Brandie Jackson, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Dr. Brandie Jackson, LLC was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.