Jennifer Brockway
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
520 10th Ave Ste 200
Coralville
, Iowa 52241-1910
Jennifer Brockway
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
520 10th Ave Ste 200
Coralville
, Iowa 52241-1910
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jennifer Brockway
- 520 10th Ave Ste 200
- Coralville, IA
- Zip : 52241-1910
- Phone :
Second Address
- Jennifer Brockway
- 520 10th Ave Ste 200
- Coralville, IA
- Zip : 52241-1910
- Phone : (319) 358-2406
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | H125368 | IA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | H125368 | IA |
National Provider Identifier
| NPI | 1053793612 |
|---|---|
| Provider Name | Jennifer Brockway |
| First Address | Coralville, IA 52241-1910 |
| Second Address | Coralville, IA 52241-1910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2015 |
| Last Update Date | 19/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.