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NPI Code Detail

MEDICARE: BROOKE BUTLER ROBERTSON MSN, AGACNP-BC

MEDICARE:   BROOKE BUTLER ROBERTSON  MSN, AGACNP-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
1163W00000XRegistered Nurse237327TN
2363LA2100XAcute Care Nurse Practitioner37448TN

General Provider Information

NPI Number : 1912725086
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE BUTLER ROBERTSON MSN, AGACNP-BC
Provider Business Mailing Address
First Line : 1156 NASHVILLE PIKE
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3110
Country : US
Telephone Number : 615-989-1088
Fax Number :
Provider Business Practice Location Address
First Line : 1411 W BADDOUR PKWY
Second Line :
City : LEBANON
State : TN
Zip : 37087-2513
Country : US
Telephone Number : 615-444-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2024
Last Update Date : 03/02/2026

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Directions to “ BROOKE BUTLER ROBERTSON MSN, AGACNP-BC” Practice Location

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