Individual
JESSICA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 S WEBB AVE, TN DEPT. OF HEALTH, CROSSVILLE, TN 38555-8452
(931) 484-6196
Mailing address
PO BOX 3014, CROSSVILLE, TN 38557-3014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149515
TN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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