| Doctor Name: | MISS JENNIFER LYNNE BROOKS |
| NPI Number: | 1023268240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 085003316 |
| Business Practice Address: | 1801 N 6th St Ste 600 Terre Haute, IN - 478044097 |
| Business Phone Number: | 8122354867 |
| Business Fax Number: | 8122328059 |
| Mailing Address: | 1801 N 6th St Ste 600, TERRE HAUTE |
| State: | IN |
| Postal Code: | 478044097 |
| Phone Number: | 8122354867 |
| Fax Number: | 8122328059 |
| NPI Enumeration Date: | 09/24/2008 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085003316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |