Individual
BROOKE L JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 E RICH BLVD, ELIZABETH CITY, NC 27909-5518
(252) 333-1277
(252) 333-1877
Mailing address
135 E RICH BLVD, ELIZABETH CITY, NC 27909-5518
(252) 333-1277
(252) 333-1877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
08/01/2022
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