| Doctor Name: | MRS. JENINE BRINKMANN MEZZLES |
| NPI Number: | 1093715971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA 00638 |
| Business Practice Address: | 400 Shelbyville St Center, TX - 759353730 |
| Business Phone Number: | 9365910200 |
| Business Fax Number: | 9365910220 |
| Mailing Address: | Po Box 144, SHELBYVILLE |
| State: | TX |
| Postal Code: | 759730144 |
| Phone Number: | 9365986624 |
| Fax Number: | 9365910220 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 00638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |