Brooks, Jillian
Brooks, Jillian is an individual health care provider with primary practice located at 2500 N Mayfair Rd Ste 325 , Wauwatosa WI 53226-1443. 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, Jillian can be contacted via phone (414) 800-5359.Contact Information
Primary practice address
2500 N Mayfair Rd Ste 325
Wauwatosa WI 53226-1443
Phone: (414) 800-5359
Fax: (414) 800-6308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 15215 | Wisconsin |
Profile Details
| NPI number | 1962977520 |
|---|---|
| LBN Legal business name | Brooks, Jillian |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2018 |
| Last updated | Jan 12th, 2026 - about 10 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962977520 | NPPES |
| Wisconsin | MEDICAID | 1962977520 |
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