Provider Demographics
NPI:1689862427
Name:DYCUS, BROOKE ALISON PERRY (APN,NNP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ALISON PERRY
Last Name:DYCUS
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Gender:F
Credentials:APN,NNP
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Mailing Address - Street 1:2300 PATTERSON ST
Mailing Address - Street 2:MID-TENNESSEE NEONATOLOGY ASSOCIATES
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1538
Mailing Address - Country:US
Mailing Address - Phone:615-342-4660
Mailing Address - Fax:615-342-4662
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:MID-TENNESSEE NEONATOLOGY ASSOCIATES
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1538
Practice Address - Country:US
Practice Address - Phone:615-342-4660
Practice Address - Fax:615-342-4662
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2009-07-31
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012853363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal