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Dr. Jennifer Elaine Brockman, MD
Forensic Psychiatry Physician in Mexico, Missouri
NPI 1346323870

Jennifer Elaine Brockman is a Forensic Psychiatry Physician based in Saint Louis, MO and is specialized in Forensic Psychiatry. Jennifer Elaine Brockman practices in Mexico, MO and has the professional credentials of MD. The NPI Number for Jennifer Elaine Brockman is 1346323870 and holds a License No. 2004003502 (Missouri).

The current practice location address for Jennifer Elaine Brockman is 321 W Promenade St, Mexico, MO and can be reached out via phone at 573-582-1234 and via fax at 573-582-1212.

Location: 321 W Promenade St, Mexico, MO, 63126-0525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346323870
Provider Name
Jennifer Elaine Brockman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
321 W Promenade St, Mexico, MO, 63126-0525
Phone Number
573-582-1234
Fax Number
573-582-1212
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A96005 01 CA STATE LICENSE
2004003502 01 MO MISSOURI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
321 W Promenade St
City
Mexico
State
Missouri
Zip
65265-2719
Phone Number
573-582-1234
Fax Number
573-582-1212
person
Provider Business Mailing Address Details
Address
321 W Promenade St
City
Mexico
State
Missouri
Zip
65265-2719
Phone Number
573-582-1234
Fax Number
573-582-1212
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Forensic Psychiatry
Taxonomy
2084F0202X
License No.
2004003502 (Missouri)
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
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