Brooke Adele Chezem, FNP-C
Nurse Practitioner, Family in Columbus, GA. Individual provider (NPI-1).
NPI number1245980903
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1245980903
- Entity type
- Individual (NPI-1)
- Name
- Brooke Adele Chezem
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2022
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | GAA-NP000830 | GA | Yes |
| 163W00000X | Registered Nurse | 911963 | MS |
Practice location
2300 Manchester Expy Ste 1003Columbus, GA 31904-6877
Phone 706-323-5552
Mailing address
2300 Manchester Expy Ste 1003Columbus, GA 31904-6877
Phone 706-323-5552
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