An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1952825663 |
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| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Not specified | ||||||||||||||||
| Enumeration date | 08/03/2017 | ||||||||||||||||
| Last updated | 10/03/2024 - More than a year ago | ||||||||||||||||
| Identifiers |
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JESSICA BROOKS
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