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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BROOKLYNNE ELIZABETH FOGLE, PA

Active

MRS. BROOKLYNNE ELIZABETH FOGLE, PA is a Physician Assistant healthcare provider located in JEFFERSON CITY, Missouri. NPI 1902427040 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JEFFERSON CITY, MO

Registration Details

NPI Number
1902427040
Provider Type
Individual
Gender
Female
NPI Issued
Apr 29, 2020 (6.3243347576447 yrs)
Last Updated
Dec 15, 2023
License
2021003259 (MO)

Practice Information

Address
2707 W EDGEWOOD DR STE 102
JEFFERSON CITY, MO, 651095886
Browse MO providers · Browse ZIP 65109
Phone
5737611830
Fax
5737611829
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JEFFERSON CITY, MO

Name Credential NPI
EDWARD J GERBER PA-C 1710966148
MRS. ERIN MARIE WEISS PA-C 1659343085
MRS. KIMBERLY M HAWKINS PA-C 1730158387
MISHA ANNE SUMMERHAYS PA-C 1780968701
JOANNA P. SMITH PA-C 1053697565
MR. ELOCHUKWU ANTHONY OSOEGO P.A. 1639640055
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.