Individual provider · NPI-1

Brooke Anne Boccaccio, APRN-NP

Nurse Practitioner · Brookhaven, GA

NPI number1093203465
StatusActive
Last updated in NPPESFeb 27, 2026

Details

NPI
1093203465
Entity type
Individual (NPI-1)
Name
Brooke Anne Boccaccio
Credential
APRN-NP
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2018
Certification date
Feb 27, 2026
Last updated
Feb 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN-NP224129GAYes
163W00000X Registered NurseRN224129GA

Practice location

2801 Buford Hwy Ne Ste 100
Brookhaven, GA 30329-2146

Phone 678-820-7830 · Fax 678-373-0339

Mailing address

2801 Buford Hwy Ne Ste 100
Brookhaven, GA 30329-2146

Phone 678-820-7830 · Fax 678-373-0339

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