Provider Demographics
NPI:1093256521
Name:BROOKINS, JULIE MICHELLE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MICHELLE
Last Name:BROOKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 HALL DR
Mailing Address - Street 2:
Mailing Address - City:DONALSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:39845-6120
Mailing Address - Country:US
Mailing Address - Phone:229-495-9080
Mailing Address - Fax:
Practice Address - Street 1:2974 HALL DR
Practice Address - Street 2:
Practice Address - City:DONALSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:39845-6120
Practice Address - Country:US
Practice Address - Phone:229-495-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231382367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered