Active NPIIndividual providerSole proprietor

Jessica Brooks

Clinic/Center, Medical Specialty in Connellsville, Pennsylvania

NPI Number1952825663
Practice location
140 Spaugy Hollow RD, Connellsville, PA 15425-6518
Fax
—
Last updated
October 3, 2024

Jessica Brooks is a Clinic/Center, Medical Specialty based in Connellsville, PA. Jessica Brooks practices in Connellsville, PA. The NPI Number for Jessica Brooks is 1952825663 and holds a License No. 1992372403 (CT). The current practice location address for Jessica Brooks is 140 Spaugy Hollow RD, Connellsville, PA 15425-6518 and can be reached out via phone at 724-963-7083.

Provider Profile Details

NPI Number
1952825663
Provider Name
Jessica Brooks
Provider Entity Type
Individual
Gender
Female
Address
140 Spaugy Hollow RD, Connellsville, PA 15425-6518
Phone Number
724-963-7083
Primary Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X
Sole Proprietor
Yes
Other Names
Jessica Shipley (Former Name)
Provider Enumeration Date
August 3, 2017
Last Update Date
October 3, 2024
Certification Date
October 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Spaugy Hollow RD
Connellsville, PA 15425-6518
Zip
15425-6518
Phone Number
724-963-7083
Connellsville, PA 15425Get directions →

Provider Business Mailing Address Details

Address
140 Spaugy Hollow RD
Connellsville, PA 15425-6518
City
Connellsville
State
PA
Zip
15425-6518

License Information

License Number (1)
1992372403
License State (1)
CT
Taxonomy (1)
Clinic/Center, Medical Specialty · 261QM2500X · Primary
License Number (2)
1043889967
License State (2)
NY
Taxonomy (2)
Clinic/Center, Medical Specialty · 261QM2500X
License Number (3)
1992372403
License State (3)
NJ
Taxonomy (3)
Clinic/Center, Medical Specialty · 261QM2500X
License Number (4)
F06171944
License State (4)
PA
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Brooks?

The NPI number of Jessica Brooks is 1952825663. It was assigned on August 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Jessica Brooks?

Jessica Brooks is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in CT under license number 1992372403.

Where does Jessica Brooks practice?

The practice location is 140 Spaugy Hollow RD, Connellsville, PA 15425-6518. The office can be reached at 724-963-7083 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952825663 directly on the NPPES registry website.

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