IndividualActive
Julie Brockman, APRN-CNP
NPI 1104668102 · Addiction Medicine (Family Medicine) Physician · Grandville, MI
Provider details
- NPI number
- 1104668102
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704438112 (MI)
Practice location
3584 Fairlanes Ave Sw Ste 2
Grandville, MI 49418-1583
Phone: (616) 797-2124
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.