Individual provider · Type 1 NPI

Latida Brooks, REGISTERED NURSE

Registered Nurse · Ellenwood, GA

NPI number 1700331485 Active

Practice location

3558 Telstar Dr
Ellenwood, GA 30294-1112

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041422032 (IL)
Registered Nurse Primary 163W00000XRN248436 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1700331485

Latida Brooks, REGISTERED NURSE's National Provider Identifier is 1700331485, issued on Aug 23, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ellenwood, GA. The record was last updated on Jan 28, 2026.