| Doctor Name: | MR. JIM BROOKS |
| NPI Number: | 1922483536 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 188600 |
| Business Practice Address: | 5700 Lombardo Ctr Suite 100 Seven Hills, OH - 441312540 |
| Business Phone Number: | 2164479604 |
| Business Fax Number: | 8448787921 |
| Mailing Address: | 5700 Lombardo Ctr, Suite 100 SEVEN HILLS |
| State: | OH |
| Postal Code: | 441312540 |
| Phone Number: | 2164479604 |
| Fax Number: | 8448787921 |
| NPI Enumeration Date: | 07/24/2015 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WF0300X |
| License Number: | 188600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Flight |
| Taxonomy Definition: | |