Brockett, Camille Tisha
Brockett, Camille Tisha is an sole proprietor health care provider with primary practice located at Emory University Hospital Emergency Department 1364 Cliffton Road, Atlanta GA 30322-1006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brockett, Camille Tisha can be contacted via phone (404) 712-2000.Contact Information
Primary practice address
Emory University Hospital Emergency Department 1364 Cliffton Road
Atlanta GA 30322-1006
Phone: (404) 712-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN184254 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN184254NP | Georgia |
Profile Details
| NPI number | 1902079957 |
|---|---|
| LBN Legal business name | Brockett, Camille Tisha |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Dec 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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