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NPI Code Detail

MEDICARE: JAIME ELIZABETH BROOKS SINGH SRNA

MEDICARE: JAIME ELIZABETH BROOKS SINGH SRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225984107
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME ELIZABETH BROOKS SINGH SRNA
Provider Business Mailing Address
First Line : 213 ARBOR CT
Second Line :
City : PINEY FLATS
State : TN
Zip : 37686-4656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6035
Country : US
Telephone Number : 423-431-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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