Whalio Doctors

NPI 1033356498

Portia Brooks

Practitioner Licensed Practical Nurse Fort Campbell, KY

Practice location

Address
650 Joel Dr Blanchfield--Wpcc, Fort Campbell, KY 42223-5318
Phone
(270) 798-0257

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence LPN056022 (GA)

Registry record

NPI
1033356498
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jan 2009
Record last updated
7 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.