Provider Demographics
NPI:1598148637
Name:HOOPER, BRIANDA F (NP)
Entity Type:Individual
Prefix:MRS
First Name:BRIANDA
Middle Name:F
Last Name:HOOPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:593 BESRA DR
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-7947
Mailing Address - Country:US
Mailing Address - Phone:678-358-2554
Mailing Address - Fax:470-275-5889
Practice Address - Street 1:49 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3049
Practice Address - Country:US
Practice Address - Phone:404-616-0539
Practice Address - Fax:404-616-4400
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAG0115058363LG0600X
GARN209149363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology