Individual
JACQUELYN BONNIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
1651 E POLSTON AVE, POST FALLS, ID 83854
(208) 457-4208
(208) 457-4197
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71088
ID
363LF0000X
Family Nurse Practitioner
AP61239730
WA
Other
Enumeration date
08/09/2006
Last updated
12/30/2025
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