MEDICARE: CHELSEA BROOKS APRN, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	906181	MS

General Provider Information

NPI Number	:	1770367716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA BROOKS APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	2655 LAKELAND DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9516
Country	:	US
Telephone Number	:	601-957-7343
Fax Number	:	601-351-5840

Provider Business Practice Location Address
First Line	:	2655 LAKELAND DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9516
Country	:	US
Telephone Number	:	601-957-7343
Fax Number	:	601-351-5840

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

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	02/12/2026

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