Individual
BROOKE TAYLOR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 274-6000
(828) 274-6025
Mailing address
PO BOX 602381, CHARLOTTE, NC 28260-2381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06664
NC
363AM0700X
Medical Physician Assistant
PA.200179
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.200179
PHSICIAN ASSISTANT LICENSE
LA
Enumeration date
06/19/2008
Last updated
01/19/2022
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