Individual
BROOKE ELISE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN, FNP-BC
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
857 PRESERVE CT, BETHLEHEM, GA 30620-2565
(404) 242-9247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN270159
GA
363LF0000X
Family Nurse Practitioner
Primary
RN270159
GA
Other
Enumeration date
04/12/2022
Last updated
01/21/2024
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