Provider Demographics
NPI:1104593896
Name:BROOKS, HELEN CHARLENE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CHARLENE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7686 SANDHILL RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:GA
Mailing Address - Zip Code:30820-2016
Mailing Address - Country:US
Mailing Address - Phone:706-466-4343
Mailing Address - Fax:
Practice Address - Street 1:123 GORDON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:GA
Practice Address - Zip Code:30673-1601
Practice Address - Country:US
Practice Address - Phone:706-678-1633
Practice Address - Fax:706-648-1634
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN215796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily