Individual
MRS. KRISTAL JAVON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 251-8921
Mailing address
514 MONARCH LAKE WAY, STOCKBRIDGE, GA 30281-7796
(404) 909-5489
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN183382
GA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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