Individual
JESSICA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 SPAUGY HOLLOW RD, CONNELLSVILLE, PA 15425-6518
(724) 963-7083
Mailing address
140 SPAUGY HOLLOW RD, CONNELLSVILLE, PA 15425-6518
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
1043889967
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
1992372403
CT
261QM2500X
Medical Specialty Clinic/Center
1992372403
NJ
363LF0000X
Family Nurse Practitioner
F06171944
PA
Other
Enumeration date
08/03/2017
Last updated
10/03/2024
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