JACQUELYN BONNIE BROOKS C-FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1861402224- Provider Type
- Individual Provider (NPI-1)
- Credentials
- C-FNP
- Status
- Active
Contact & Location
- Address
- 1651 E POLSTON AVE, POST FALLS, ID, 83854
- Phone
- (208) 457-4208
- Fax
- (208) 457-4197
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #71088
Nurse Practitioner, Family
License: WA #AP61239730