Brooke A. Jernigan | |
302 Washington Ave Sw Ste B Roanoke VA 24016-4312 | |
(540) 524-9918 | |
(540) 215-7226 |
Full Name | Brooke A. Jernigan |
---|---|
Speciality | Social Worker |
Location | 302 Washington Ave Sw Ste B, Roanoke, Virginia |
Authorized Official Name and Position | Brooke Alston Jernigan (OWNER) |
Authorized Official Contact | 5405249918 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brooke A. Jernigan 1140 Bramlett Rd Moneta VA 24121-6246 Ph: (540) 525-0908 | Brooke A. Jernigan 302 Washington Ave Sw Ste B Roanoke VA 24016-4312 Ph: (540) 524-9918 |
NPI Number | 1407529779 |
---|---|
Provider Enumeration Date | 07/31/2021 |
Last Update Date | 10/23/2021 |
Certification Date | 10/23/2021 |
Medicare PECOS PAC ID | 0840694881 |
---|---|
Medicare Enrollment ID | O20210812001682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407529779 | NPI | - | NPPES |
601531914 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Brooke Alston Jernigan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386221430 PECOS PAC ID: 7416351424 Enrollment ID: I20210812000178 |
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