Provider Demographics
NPI:1265087027
Name:BROOKS, SHEILA DENISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:DENISE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 WROUGHT IRON DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7493
Mailing Address - Country:US
Mailing Address - Phone:254-213-8588
Mailing Address - Fax:
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY STE 125
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1996
Practice Address - Country:US
Practice Address - Phone:254-618-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily