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NPI Code Detail

MEDICARE: BROOKE LEONE

MEDICARE:   BROOKE  LEONE
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
1363LF0000XFamily Nurse PractitionerARNP9380490FL

General Provider Information

NPI Number : 1629563846
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE LEONE
Provider Business Mailing Address
First Line : 6520 FORT CAROLINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2044
Country : US
Telephone Number : 904-745-3618
Fax Number : 904-722-4271
Provider Business Practice Location Address
First Line : 2032 DUNN AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-4716
Country : US
Telephone Number : 904-757-2008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 05/31/2023

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Directions to “ BROOKE LEONE ” Practice Location

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