IndividualActive
Brooke Blum, NNP
NPI 1629668736 · Neonatal Nurse Practitioner · Avondale Estates, GA
Provider details
- NPI number
- 1629668736
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN230977 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3442 Kensington Parc Cir
Avondale Estates, GA 30002-1779
Phone: (678) 787-6526
Approximate (ZIP-level) locationGet directions
Mailing address
3442 Kensington Parc Cir
Avondale Estates, GA 30002-1779
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.