Individual
BROOKE TSCHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8819
(352) 273-5199
(352) 392-6781
Mailing address
PO BOX 100264, GAINESVILLE, FL 32610-0264
(352) 273-5199
(352) 392-6781
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9529017
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11037729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125909400
—
FL
Enumeration date
09/12/2022
Last updated
04/30/2025
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