Individual
JENNIFER MARY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119
Mailing address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 287-6119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165656
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008955590
—
VA
Enumeration date
06/09/2005
Last updated
02/01/2021
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