Healthcare Provider Details

I. General information

NPI: 1427674472
Provider Name (Legal Business Name): AMANDA POOLE BROOKS DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA KATHERINE POOLE DNP, FNP-C

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 NW 56TH TER STE B
GAINESVILLE FL
32605-6401
US

IV. Provider business mailing address

PO BOX 17930
LITTLE ROCK AR
72222-7930
US

V. Phone/Fax

Practice location:
  • Phone: 352-234-3050
  • Fax:
Mailing address:
  • Phone: 501-663-0490
  • Fax: 501-663-5948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number228146
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11007902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: