Individual
MISS JENNIFER LYNNE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1801 N 6TH ST STE 600, TERRE HAUTE, IN 47804-4097
(812) 235-4867
(812) 232-8059
Mailing address
1801 N 6TH ST STE 600, TERRE HAUTE, IN 47804-4097
(812) 235-4867
(812) 232-8059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153063
HEALTH ALLIANCE
—
01
—
940939
HEALTHLINK
—
Enumeration date
09/24/2008
Last updated
05/19/2014
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