Individual provider · Type 1 NPI

Regina Mary Brooks-Hall, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1417049404 Active

Practice location

711 Medical Village Dr
Edgewood, KY 41017-3439

Fax (859) 578-3800

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001168260 (VA)
Nurse Practitioner 363L00000X0017138054 (VA)
Nurse Practitioner Primary 363L00000X3006374 (KY)
Nurse Practitioner 363L00000X71013431A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417049404

Regina Mary Brooks-Hall, APRN's National Provider Identifier is 1417049404, issued on Sep 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Dec 19, 2025.