Provider Demographics
NPI:1437262896
Name:BROOKS, ABIGAIL MILLER (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:MILLER
Last Name:BROOKS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:DUPREE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACITIONER
Mailing Address - Street 1:1401 CENTERVILLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4675
Mailing Address - Country:US
Mailing Address - Phone:850-877-5115
Mailing Address - Fax:850-656-3645
Practice Address - Street 1:1401 CENTERVILLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4675
Practice Address - Country:US
Practice Address - Phone:850-877-5115
Practice Address - Fax:850-656-3645
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9253927363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 9253927OtherFLORIDA NP LICENSE
FLARNP 9253927OtherFLORIDA NP LICENSE