Brooks, Jeannetta Ann

Brooks, Jeannetta Ann is an individual health care provider with primary practice located at 1104 Beville Rd , Daytona Beach FL 32114-5797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks, Jeannetta Ann can be contacted via phone (386) 760-8116.

Contact Information

Primary practice address
1104 Beville Rd Daytona Beach FL 32114-5797
Phone: (386) 760-8116
Fax: (888) 804-6503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN260247 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00774600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11005670 Florida

Profile Details

NPI number 1457892226
LBN Legal business name Brooks, Jeannetta Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated Jan 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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