Search › Virginia › 363A00000X
Jacob Brannen, PA-C
NPI 1629315460 · on the registry since 2013
Practice
- Address
- 3707 Brambleton Ave Ste 2
Roanoke, VA 24018 - Phone
- (540) 725-7800
- Fax
- (540) 989-6752
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia