Individual provider · Type 1 NPI
Chennel Broom
Acute Care Nurse Practitioner · Atlanta, GA
NPI number
1326696303
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN181513 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN181513 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1326696303
Chennel Broom's National Provider Identifier is 1326696303, issued on Sep 3, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Aug 11, 2026.