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BROOKE ELISE GREEN RN
NPI 1679308340
Nurse Practitioner - Gerontology in Ellenwood, GA

Active since September 03, 2024
3965 SWEETWATER PKWY, ELLENWOOD, GA 30294(404) 956-8845 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke Elise Green Rn NPPES

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

BROOKE ELISE GREEN RN (NPI 1679308340) is an individual gerontology provider in Ellenwood, Georgia, licensed in Georgia (APRN322122) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1679308340
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBROOKE ELISE GREENCredential: RN
Location Address3965 SWEETWATER PKWYEllenwood, GA 30294-1575
Mailing Address3965 Sweetwater PkwyEllenwood, GA 30294-1575 · (404) 956-8845
Phone(404) 956-8845
Sole ProprietorNo
Enumeration DateSeptember 3, 2024
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1679308340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · APRN322122
3965 SWEETWATER PKWY, Ellenwood, GA 30294
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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 Brooke Green's NPI number?

The NPI number for Brooke Green is 1679308340. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Brooke Green located?

Brooke Green practices at 3965 Sweetwater Pkwy, Ellenwood, GA 30294. The listed phone number is (404) 956-8845.

What is Brooke Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Brooke Green was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.