MS. CAMILLE TISHA BROCKETT NP NPI 1902079957

NPI Information

MS. Camille Tisha Brockett, NP is an acute care nurse practitioner in Atlanta, GA with 17 years of experience. MS. Camille Tisha Brockett, NP NPI is 1902079957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

EMORY UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT
1364 CLIFFTON ROAD
ATLANTA, GA
ZIP 30322-006
Phone: (404) 712-2000

The NPI 1902079957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 12/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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