MEDICARE: APRIL D MCBROOM NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN270954	GA

General Provider Information

NPI Number	:	1417654633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL D MCBROOM NP

Provider Business Mailing Address
First Line	:	601 S VETERANS BLVD
Second Line	:
City	:	GLENNVILLE
State	:	GA
Zip	:	30427-1775
Country	:	US
Telephone Number	:	912-654-0475
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 E BRAZELL ST
Second Line	:
City	:	REIDSVILLE
State	:	GA
Zip	:	30453-5046
Country	:	US
Telephone Number	:	912-557-1950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2023
Last Update Date	:	01/22/2026

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