Provider Demographics
NPI:1497543854
Name:BROOKS, OLIVIA DENISE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:DENISE
Last Name:BROOKS
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:DENISE
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:913 ELY RD
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4712
Mailing Address - Country:US
Mailing Address - Phone:423-290-6740
Mailing Address - Fax:
Practice Address - Street 1:913 ELY RD
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4712
Practice Address - Country:US
Practice Address - Phone:423-290-6740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily