Healthcare Provider Details

I. General information

NPI: 1720114978
Provider Name (Legal Business Name): JENNIFER ROOKE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER BRANCH-ROOKE MD, MPH

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 275
ATLANTA GA
30318-3098
US

IV. Provider business mailing address

720 WESTVIEW DRIVE SW HARRIS BLDG., 100-A
ATLANTA GA
30310
US

V. Phone/Fax

Practice location:
  • Phone: 404-756-1290
  • Fax:
Mailing address:
  • Phone: 404-756-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number33801
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number33801
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: