Provider Demographics
NPI:1699139790
Name:HOWARD-BROOKS, DEQUILA
Entity type:Individual
Prefix:
First Name:DEQUILA
Middle Name:
Last Name:HOWARD-BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70883
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-0883
Mailing Address - Country:US
Mailing Address - Phone:615-336-6571
Mailing Address - Fax:
Practice Address - Street 1:2005 QUAIL RIDGE DR
Practice Address - Street 2:6153366571
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1057
Practice Address - Country:US
Practice Address - Phone:615-336-6571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care