Individual provider · Type 1 NPI

Brooke M. Tennis

Family Nurse Practitioner · Amsterdam, NY

NPI number 1720963572 Active

Practice location

5010 State Highway 30 Ste 204
Amsterdam, NY 12010-7532

Call (518) 842-8185 Map

Mailing address

790 Stone Arabia Rd
Fort Plain, NY 13339-1925

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF357184-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1720963572

Brooke M. Tennis's National Provider Identifier is 1720963572, issued on Aug 11, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Amsterdam, NY. The record was last updated on Aug 11, 2025.