Individual provider · Type 1 NPI
Julie Anne Brockman, APRN-CNP
Addiction Medicine (Family Medicine) Physician · Grandville, MI
NPI number
1104668102
Active
Practice location
3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Other practice locations
- 1585 Neil Ave, Columbus, OH 43210-1216 · (614) 292-4041
- 164 E Main St, Mount Sterling, OH 43143-1145 · (740) 956-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 4704438112 (MI) |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0036640 (OH) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
13 other providers at this address
- Alexis Trudeau, LLMSWClinical Social Worker Grandville, MI NPI 1417687930
- Andrea Leigh SimonLicensed Practical Nurse Grandville, MI NPI 1902361728
- Angela LongCounselor Grandville, MI NPI 1386217826
- Chaniya Clark, LLBSWSocial Worker Grandville, MI NPI 1396579801
- Daesha Lynne Canales, LPNLicensed Practical Nurse Grandville, MI NPI 1144916180
- Heather Nichole Little, B.S.Addiction (Substance Use Disorder) Counselor Grandville, MI NPI 1164129698
- Hope LundeSocial Worker Grandville, MI NPI 1417528803
- Jennifer Balangue BarnettAddiction (Substance Use Disorder) Counselor Grandville, MI NPI 1265887855
- Jessica L. RossLicensed Practical Nurse Grandville, MI NPI 1730040049
- Reyna Becker Rabago, MSAddiction (Substance Use Disorder) Counselor Grandville, MI NPI 1285563676
- Tammy Lynn MohrLicensed Practical Nurse Grandville, MI NPI 1831844299
- Tommie Earl Johnson, LLMSWPrevention Professional Grandville, MI NPI 1255926143
About NPI 1104668102
Julie Anne Brockman, APRN-CNP's National Provider Identifier is 1104668102, issued on Jun 10, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Grandville, MI. The record was last updated on Jun 1, 2026.