Individual
STACY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MAIN AVE SW, CULLMAN, AL 35055-7200
(256) 734-3759
Mailing address
1900 MAIN AVE SW, CULLMAN, AL 35055-7200
(256) 734-3759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-116085
AL
363LF0000X
Family Nurse Practitioner
1-116085
AL
Other
Enumeration date
06/29/2018
Last updated
07/10/2019
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