Provider Demographics
NPI:1790155166
Name:MCELROY-BROOKLYN, JAMEKA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMEKA
Middle Name:
Last Name:MCELROY-BROOKLYN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JAMEKA
Other - Middle Name:K
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2900 S QUINCY ST STE 210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-9907
Mailing Address - Country:US
Mailing Address - Phone:703-212-7546
Mailing Address - Fax:
Practice Address - Street 1:2900 S QUINCY ST STE 210
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-9907
Practice Address - Country:US
Practice Address - Phone:703-212-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085005649363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant