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Contact Information

JESSICA BROOKS
140 SPAUGY HOLLOW RD
CONNELLSVILLE, PA15425-6518
 Phone: 724-963-7083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for

NPI # 1952825663
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/03/2017
Last updated 10/03/2024 - More than a year ago
Identifiers
CT License # 1992372403
NJ License # 1992372403
NY License # 1043889967
PA License # F06171944
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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