Brokaw, Jennifer

Brokaw, Jennifer is an individual health care provider with primary practice located at 1258W South St 2 , Kewanee IL 61443-8300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brokaw, Jennifer can be contacted via phone (309) 853-3677.

Contact Information

Primary practice address
1258W South St 2 Kewanee IL 61443-8300
Phone: (309) 853-3677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-002733 Illinois

Profile Details

NPI number 1730139106
LBN Legal business name Brokaw, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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