Kathryn Jenkins Brooks
Individual provider Active NPI Family Nurse Practitioner · Perry, FL
NPI 1225879596 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1225879596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11033119 (FL)
- Practice address
- 315 E Ash St
Perry, FL 32347-2029 - Phone
- (850) 838-2121
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11033119 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- kathryn.brooks.1@23008.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11033119 | FL | Yes |
Addresses
Primary practice location
315 E Ash St
Perry, FL 32347-2029
Mailing address
315 E Ash St
Perry, FL 32347-2029
Phone (850) 838-2121
Other providers in Perry, FL
- Tandela Shayontaye Blount-Jackson
- Virginia Paige Bodell
- Donna Blair Bodiford
- Kylie Renee Bogetti
- Christina Brock
- Tonya Brumbley Bryan
- Dorothy Tucker Burney
- Moses Bwete
- Carestandard Corporation
- Britnee Cash
All providers in Perry, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.