Sarah Gartman Brouckaert, RN
Individual provider Active NPI Registered Nurse · Hazlehurst, MS
NPI 1033915913 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1033915913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 916759 (MS)
- Practice address
- 322 W Gallatin St
Hazlehurst, MS 39083-3028 - Phone
- (601) 906-9136
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916759 | MS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 916759 | MS | Yes |
Addresses
Primary practice location
322 W Gallatin St
Hazlehurst, MS 39083-3028
Mailing address
2501 Bienville Blvd Apt 524
Ocean Springs, MS 39564-3129
Other providers in Hazlehurst, MS
- Roger Dale Blakeney
- Blessing Hands LLC
- Diana Bogan
- Carl Anthony Boykin
- Courtney Rachel Britt
- Alyssa Nichole Bryant
- Emma Louise Burns
- Samantha Byther-Short
- Carla McKenzie Calhoun
- Taylor Nicole Campbell
All providers in Hazlehurst, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.