Individual provider · Type 1 NPI

Brooke Elise Green, RN

Gerontology Nurse Practitioner · Ellenwood, GA

NPI number 1679308340 Active

Practice location

3965 Sweetwater Pkwy
Ellenwood, GA 30294-1575

Call (404) 956-8845 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN322122 (GA)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1679308340

Brooke Elise Green, RN's National Provider Identifier is 1679308340, issued on Sep 3, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ellenwood, GA. The record was last updated on Jun 12, 2026.