{
"Npi": {
"NPI": "1518490424",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BROOKS",
"FirstName": "JENNIFER",
"MiddleName": "JAYE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BURRIS",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "B",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "FNP-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "9006 N NAVARRO ST",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "VICTORIA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77904-1565",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-485-0021",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "506 E SAN ANTONIO ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VICTORIA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77901-6060",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-788-6027",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/07/2017",
"LastUpdateDate": "04/22/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "AP133483",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}