Brooklynn Imhof, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023040629 Issued in MO

Practice address

643 Clinic Rd
Hannibal, MO 63401-3607

Phone

(573) 822-2982

NPI assigned

Apr 22, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1730976929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GALA DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012400",
            "telephone_number": "573-822-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CLINIC RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013607",
            "telephone_number": "573-822-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMHOF",
        "first_name": "BROOKLYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023040629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Humphrey
• Kathleen Humphreys, MSW, PLCSW
• Rebecca Lynne Humphreys, DPT
• Haley Hurst, PHARMD
• Iec Surgical Centers LLC
• Justin Imhof, D.O.
• Kevin B Imhof, D.O.
• Emma Inglis
• Amanda M Ingram, RN
• Integrated Dermatology of Northeast Missouri LLC

• Family Nurse Practitioner in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.