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Brooke Samantha Fryfogle, FNP
Family Nurse Practitioner in Hattiesburg, Mississippi
NPI 1528520277

Brooke Samantha Fryfogle is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Brooke Samantha Fryfogle practices in Hattiesburg, MS and has the professional credentials of FNP. The NPI Number for Brooke Samantha Fryfogle is 1528520277 and holds a License No. 903134 (Mississippi).

The current practice location address for Brooke Samantha Fryfogle is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-268-5680 and via fax at 601-268-5778.

Location: 415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528520277
Provider Name
Brooke Samantha Fryfogle
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
415 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5680
Fax Number
601-268-5778
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07659811 05 MS
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-7246
Phone Number
601-268-5680
Fax Number
601-268-5778
person
Provider Business Mailing Address Details
Address
415 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-7246
Phone Number
601-268-5680
Fax Number
601-268-5778
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
903134 (Mississippi)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
903134 (Mississippi)
Definition
Definition to come...
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