| NPI | 1063089332 |
|---|---|
| Doing Business As | BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2022-03-07 |