Provider Demographics
NPI:1659057701
Name:COX, BROOKE ANGE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ANGE
Last Name:COX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:SAWYER
Other - Last Name:ANGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:86 PUNGO TRL
Mailing Address - Street 2:
Mailing Address - City:PINETOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27865-9703
Mailing Address - Country:US
Mailing Address - Phone:252-717-8383
Mailing Address - Fax:
Practice Address - Street 1:1901 STONEHENGE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5067
Practice Address - Country:US
Practice Address - Phone:252-561-7777
Practice Address - Fax:252-561-7778
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018310363LF0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily