MELISSA RENEE BROSKE APRN
NPI 1184190647
Nurse Practitioner - Family in Evans, GA

Active since October 22, 2018
614 MULLINS COLONY DR, EVANS, GA 30809(706) 760-7272(706) 760-7276 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Oct 22, 2018 (2 updates tracked since 2018).

About Melissa Renee Broske Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA RENEE BROSKE APRN (NPI 1184190647) is an individual family provider in Evans, Georgia, licensed in Georgia (NP217143) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1184190647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA RENEE BROSKECredential: APRN
Location Address614 MULLINS COLONY DREvans, GA 30809-0579
Mailing Address614 Mullins Colony DrEvans, GA 30809-0579 · (706) 760-7272 · Fax (706) 760-7276
Fax(706) 760-7276
Sole ProprietorYes
Enumeration DateOctober 22, 2018
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1184190647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · NP217143
614 MULLINS COLONY DR, Evans, GA 30809

Other Names 1

Former Name (1)Melissa Renee Thakore

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
614 MULLINS COLONY DR
EVANS, GA 30809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Broske's NPI number?

The NPI number for Melissa Broske is 1184190647. It was assigned to this individual provider in the NPPES registry on October 22, 2018. The provider is also known as Melissa Renee Thakore.

Where is Melissa Broske located?

Melissa Broske practices at 614 Mullins Colony Dr, Evans, GA 30809. The listed phone number is (706) 760-7272.

What is Melissa Broske's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Melissa Broske was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.