Provider Demographics
NPI:1497543854
Name:BROOKS, OLIVIA DENISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:DENISE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:DENISE
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2725 KEITH ST NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3706
Mailing Address - Country:US
Mailing Address - Phone:234-476-3330
Mailing Address - Fax:423-476-5802
Practice Address - Street 1:2725 KEITH ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3706
Practice Address - Country:US
Practice Address - Phone:423-476-3330
Practice Address - Fax:423-476-5802
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily