Brooker, Stacie

Brooker, Stacie is an individual health care provider with primary practice located at 240 Peachtree St , Jesup GA 31545-0212. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brooker, Stacie can be contacted via phone (912) 427-2043.

Contact Information

Primary practice address
240 Peachtree St Jesup GA 31545-0212
Phone: (912) 427-2043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN205526 Georgia
Nursing Service Providers / Community Health 163WC1500X RN205526 Georgia

Profile Details

NPI number 1043849359
LBN Legal business name Brooker, Stacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Sep 8th, 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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