Individual provider · Type 1 NPI

Rikki Suzanne Broom, PNP

Nurse Practitioner · Sumrall, MS

NPI number 1942089917 Active

Practice location

4881 Hwy 589
Sumrall, MS 39482-3948

Mailing address

PO Box 566
Sumrall, MS 39482-0566

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X906303 (MS)

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 1942089917

Rikki Suzanne Broom, PNP's National Provider Identifier is 1942089917, issued on Sep 27, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sumrall, MS. The record was last updated on Feb 17, 2025.