Provider Demographics
NPI:1568109247
Name:BARR, BROOKE ASHTON (DNP, APRN, CPNP-PC)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:ASHTON
Last Name:BARR
Suffix:
Gender:F
Credentials:DNP, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15741 TERRACE LAWN CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-4238
Mailing Address - Country:US
Mailing Address - Phone:903-880-7707
Mailing Address - Fax:
Practice Address - Street 1:3535 VICTORY GROUP WAY STE 305
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6722
Practice Address - Country:US
Practice Address - Phone:972-324-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074064363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics