Kelly C. Brooks, NP
Nurse Practitioner, Family in Chesapeake, VA. Individual provider (NPI-1).
NPI number1669060331
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1669060331
- Entity type
- Individual (NPI-1)
- Name
- Kelly C. Brooks
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024178701 | VA | Yes |
Practice location
1605 Westerly CtChesapeake, VA 23322-1285
Phone 774-238-2766
Mailing address
1605 Westerly CtChesapeake, VA 23322-1285
Phone 774-238-2766
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