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Contact Information

STACIE BROOKER
2747 4TH ST
BRUNSWICK, GA31520-3714
 Phone: 912-270-2553
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for STACIE BROOKER · (Female)

NPI Number 1043849359
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2020
Last updated 01/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # RN205526
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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