Provider Demographics
NPI:1356848733
Name:WHALEY, BROOKLYN HAMMONDS (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:HAMMONDS
Last Name:WHALEY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 INNIS BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-6549
Mailing Address - Country:US
Mailing Address - Phone:706-676-0896
Mailing Address - Fax:
Practice Address - Street 1:800 BROAD ST STE 214
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-3140
Practice Address - Country:US
Practice Address - Phone:706-230-9262
Practice Address - Fax:866-380-0554
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA156544363LF0000X
GARN156544163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency