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General NPI Number Information
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NPI Number | 1518490424
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Entity Type | Individual
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Provider Name | JENNIFER JAYE BROOKS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 506 E SAN ANTONIO ST
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City | VICTORIA
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State | TX
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Zip | 77901-6060
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Country | US
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Telephone | 361-788-6027
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Fax |
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Provider Business Mailing Address
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Address Line | 9006 N NAVARRO ST SUITE B
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City | VICTORIA
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State | TX
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Zip | 77904-1565
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Country | US
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Telephone | 361-485-0021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133483
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License Number State | TX
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