Individual
JENNIFER BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1258W SOUTH ST 2, KEWANEE, IL 61443-8300
(309) 853-3677
Mailing address
1258W SOUTH ST 2, KEWANEE, IL 61443-8300
(309) 853-3677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-002733
IL
Other
Enumeration date
05/10/2006
Last updated
10/29/2015
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