Individual
MS. KUSANYA AMICE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6 DOCTORS CIR STE 1, SUPPLY, NC 28462-6358
(910) 754-4233
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
648549
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022307
NC
Other
Enumeration date
04/03/2012
Last updated
07/22/2025
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