Doctor Name: | JENNIFER BROOKS |
NPI Number: | 1528461969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 472592 |
Business Practice Address: | 2111 Girdle Rd Elma, NY - 140599278 |
Business Phone Number: | 7166523000 |
Business Fax Number: | |
Mailing Address: | 2111 Girdle Rd, ELMA |
State: | NY |
Postal Code: | 140599278 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 472592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |