Individual
MICHELE LATONYA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9715 HIGHWAY 12, TCHULA, MS 39169-3692
(662) 235-4731
(662) 235-5255
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-7149
(662) 459-7003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902153
MS
Other
Enumeration date
07/31/2017
Last updated
09/30/2024
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