MS. JEANNETTA ANN BROOKS APN NPI 1457892226

NPI Information

NPI: 1457892226
Provider Name: MS. JEANNETTA ANN BROOKS, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3641 CLYDE MORRIS BLVD STE 400
PORT ORANGE, FL
ZIP 32129
Phone: (386) 675-4410
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MS. Jeannetta Ann Brooks, APN is a family nurse practitioner in Port Orange, FL with 7 years of experience. MS. Jeannetta Ann Brooks, APN NPI is 1457892226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3641 CLYDE MORRIS BLVD STE 400
PORT ORANGE, FL
ZIP 32129-357
Phone: (386) 675-4410
Fax: (866) 542-5859

The NPI 1457892226 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 12/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN260247	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	26NJ00774600	NEW JERSEY	No
3	363LF0000X	Nurse Practitioner	Family	APRN11005670	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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