Provider Demographics
NPI:1851773410
Name:BROBBEY, JESSICA (NURSE)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:BROBBEY
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:BROBBEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSE
Mailing Address - Street 1:2730 W 33RD ST
Mailing Address - Street 2:513
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1666
Mailing Address - Country:US
Mailing Address - Phone:347-248-4070
Mailing Address - Fax:
Practice Address - Street 1:2730 W 33RD ST
Practice Address - Street 2:513
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1666
Practice Address - Country:US
Practice Address - Phone:347-248-4070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY321603164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse