# BROOKE ANNE BOCCACCIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093203465
- **Gender:** F
- **Credential:** APRN-NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN224129 | GA | — |
| 363L00000X | Nurse Practitioner | APRN-NP224129 | GA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN-NP224129 | GA | Yes |

## Other

- **Enumeration date:** 05/01/2018
- **Last updated:** 02/27/2026