Healthcare Provider Details

I. General information

NPI: 1699005843
Provider Name (Legal Business Name): ADRIANE BROOKE NELSON RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIANE BROOKE CAMPBELL

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 N A W GRIMES BLVD STE N201
ROUND ROCK TX
78665-3540
US

IV. Provider business mailing address

2423 WILLIAMS DR STE 107
GEORGETOWN TX
78628-3269
US

V. Phone/Fax

Practice location:
  • Phone: 877-800-5722
  • Fax:
Mailing address:
  • Phone: 877-800-5722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number625301
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: