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: July 19, 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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073104089, enumerated as an "organization" on February 01, 2021.

The provider is located at 3902 ROCHAMBEAU DR WILLIAMSBURG, VA 23188 and the phone number is (757) 707-0945.

Home Health with taxonomy code 251E00000X.