MRS. DENISE POLEN BROOKS (NPI# 1689643991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689643991 |
| Entity Type | Individual |
| Full Name | MRS. DENISE POLEN BROOKS |
| Credential | NP-C |
| Practice Address |
420 W Jefferson Ave Clarksville IN 47129-1820 |
| Practice Telephone | 8122823410 |
| Practice Fax Number | 8122826178 |
| Mailing Telephone | 8122823410 |
| Mailing Fax Number | 8122826178 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4543P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71001986A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ARNP | 4543P | 01 |
| IN | NP | 71001986A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164781852 | Denise Eileen Brooks | Social Worker | 7601 Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2012-05-15 |
| 1285961532 | Denise L Brooks | Psychologist | 595 Forest Ave, Ste. 7a, Plymouth, MI 48170-1775 | 2009-11-06 |
| 1124257365 | Denise Melissa Brooks | Physician Assistant | 5335 Discovery Park Blvd, Suite A, Williamsburg, VA 23188-2696 | 2009-07-09 |
| 1316036684 | Denise M Brooks | Registered Nurse | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-10-12 |
| Street Address |
420 W JEFFERSON AVE |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1588212716 | Sabina G Sambat | Nurse Practitioner | 6100 Daylong Ln Ste 105, Clarksville, MD 21029-1631 | 2019-08-30 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1629335120 | Leanne S Balmer | Nurse Practitioner | 775 Weatherly Dr, Ste F, Clarksville, TN 37043-8942 | 2012-04-20 |
| 1588980908 | Tommy Lewis Thompson Jr. | Nurse Practitioner | 1861 River Rd, Clarksville, TN 37040-7437 | 2010-04-09 |
| 1831360411 | Alexandria Nicole Duncan | Nurse Practitioner | 230 Dover Road, Clarksville, TN 37042 | 2008-03-21 |
| 1639340680 | Cumberland View Clinic LLC | Nurse Practitioner | 1749 Highway 48, Clarksville, TN 37040-7427 | 2008-03-18 |
| 1114921681 | Jane Faith Kapustin | Nurse Practitioner | 5005 Signal Bell Ct, Ste 102, Clarksville, MD 21029-2607 | 2005-06-11 |
| 1346714714 | Jp Prime Health Pllc | Nurse Practitioner | 111 Ussery Rd, Clarksville, TN 37043-4530 | 2019-01-18 |
| 1356810089 | Sara Tenille Cottrell | Nurse Practitioner | 647 Dunlop Ln Ste 200, Clarksville, TN 37040-5165 | 2018-11-26 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on MRS. DENISE POLEN BROOKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.