Provider Demographics
NPI:1689135030
Name:JASINSKI, BROOKE TAYLOR (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:TAYLOR
Last Name:JASINSKI
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 OLENTANGY RIVER RD STE 6350
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3962
Mailing Address - Country:US
Mailing Address - Phone:614-734-3347
Mailing Address - Fax:614-265-2513
Practice Address - Street 1:3525 OLENTANGY RIVER RD STE 6350
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3962
Practice Address - Country:US
Practice Address - Phone:614-734-3347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH024543363LX0001X
OH104402955363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology