Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke L Jennings

Individual provider Physician Assistant · NPI 1083164222

Brooke L Jennings is a Physician Assistant in Elizabeth City, North Carolina. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2016, 10 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
In the registry since
2016
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Practice location Address checks out

135 E Rich Blvd
Elizabeth City, NC 27909-5518
Phone: (252) 333-1277
Fax: (252) 333-1877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083164222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Elizabeth City