Individual
MS. JEANNE FLORENCE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9400 JACKSON AVE, TACOMA, WA 98431-1100
(253) 967-4397
Mailing address
9613 201ST STREET CT E, GRAHAM, WA 98338-6495
(253) 375-7752
(253) 967-8224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60027834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60027834
STATE LICENSE
WA
Enumeration date
09/13/2006
Last updated
08/22/2013
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