Brooks, Jennifer Mary
Brooks, Jennifer Mary is an individual health care provider with primary practice located at 9101 Stony Point Dr , Richmond VA 23235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brooks, Jennifer Mary can be contacted via phone (804) 330-9105.Contact Information
Primary practice address
9101 Stony Point Dr
Richmond VA 23235
Phone: (804) 330-9105
Fax: (804) 287-6119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024165656 | Virginia |
Profile Details
NPI number | 1952305633 |
---|---|
LBN Legal business name | Brooks, Jennifer Mary |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Feb 1st, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952305633 | NPPES |
Virginia | MEDICAID | 008955590 |
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