Individual
JENNIFER BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
520 10TH AVE STE 200, CORALVILLE, IA 52241-1910
(319) 358-2406
Mailing address
520 10TH AVE STE 200, CORALVILLE, IA 52241-1910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H125368
IA
363LG0600X
Gerontology Nurse Practitioner
H125368
IA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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