Brooks, Jana Michelle

Brooks, Jana Michelle is an individual health care provider with primary practice located at 7810 Providence Road Suite 102, Charlotte NC 28226-2987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks, Jana Michelle can be contacted via phone (704) 543-6636.

Contact Information

Primary practice address
7810 Providence Road Suite 102 Charlotte NC 28226-2987
Phone: (704) 543-6636
Fax: (704) 541-9476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 005001010 North Carolina

Profile Details

NPI number 1982695920
LBN Legal business name Brooks, Jana Michelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 4th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982695920 NPPES
North Carolina MEDICAID 7005796

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