Individual
BROOKE E MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7100 U S HIGHWAY 98 STE 210, HATTIESBURG, MS 39402-8557
(601) 545-7021
(601) 545-6978
Mailing address
PO BOX 649113, DALLAS, TX 75264-9113
(601) 545-7021
(601) 545-6978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
914709
MS
363LF0000X
Family Nurse Practitioner
Primary
908110
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200027069
—
MS
Enumeration date
01/08/2026
Last updated
04/21/2026
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