| Doctor Name: | JENNIFER BROCKWAY |
| NPI Number: | 1053793612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, ARNP |
| License Number: | H125368 |
| Business Practice Address: | 520 10th Ave Ste 200 Coralville, IA - 522411910 |
| Business Phone Number: | 3193582406 |
| Business Fax Number: | |
| Mailing Address: | 520 10th Ave Ste 200, CORALVILLE |
| State: | IA |
| Postal Code: | 522411910 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | H125368 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |