Individual
DYNETTE BROOKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
721 RIVERSIDE DRIVE LN, MACON, GA 31201-2658
(478) 259-3435
Mailing address
721 RIVERSIDE DRIVE LN, MACON, GA 31201-2658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02240694
GA
363LP2300X
Primary Care Nurse Practitioner
F02240694
GA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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