Individual
JOSEPHINE ELIZABETH BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
520 A1A N STE 101, PONTE VEDRA, FL 32082-2260
(904) 273-6900
(904) 390-7479
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005572
FL
363LF0000X
Family Nurse Practitioner
APRN11005572
FL
Other
Enumeration date
01/24/2020
Last updated
11/02/2022
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