Provider Demographics
NPI:1992291587
Name:HESSLING, BROOKE (FNP-NP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:
Last Name:HESSLING
Suffix:
Gender:F
Credentials:FNP-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 TEXAN TRL APT 2217
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3799
Mailing Address - Country:US
Mailing Address - Phone:214-226-1443
Mailing Address - Fax:
Practice Address - Street 1:521 W SOUTHLAKE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-328-3000
Practice Address - Fax:817-328-3333
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137957363LF0000X
TX127-50709712084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily