Healthcare Provider Details

I. General information

NPI: 1821814906
Provider Name (Legal Business Name): BROOKE NICOLE WHITE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BROOKE NICOLE ARMSTRONG

II. Dates (important events)

Enumeration Date: 11/23/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8484 PATRICK HENRY WAY
GLOUCESTER VA
23061-5398
US

IV. Provider business mailing address

8484 PATRICK HENRY WAY
GLOUCESTER VA
23061-5398
US

V. Phone/Fax

Practice location:
  • Phone: 517-917-5388
  • Fax:
Mailing address:
  • Phone: 517-917-5388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24191846
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: