Individual
JENNA KINDLEY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3221
Mailing address
4470 GREENMEADOW LAKES CIR, WINSTON SALEM, NC 27106-9792
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232948
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245666460
—
NC
Enumeration date
09/19/2013
Last updated
11/24/2014
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