# JESSICA BROOKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952825663
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1043889967 | NY | — |
| 261QM2500X | Medical Specialty Clinic/Center | 1992372403 | CT | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 1992372403 | NJ | — |
| 363LF0000X | Family Nurse Practitioner | F06171944 | PA | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 10/03/2024