Individual
BROOKE ANNE BOCCACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
2801 BUFORD HWY NE STE 100, BROOKHAVEN, GA 30329-2146
(678) 820-7830
(678) 373-0339
Mailing address
2801 BUFORD HWY NE STE 100, BROOKHAVEN, GA 30329-2146
(678) 820-7830
(678) 373-0339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN224129
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP224129
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP224129
GA
Other
Enumeration date
05/01/2018
Last updated
02/27/2026
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