Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Revell Sansom, APRN

Individual provider Registered Nurse · NPI 1932741840

Brooke Revell Sansom, APRN is a Nurse Practitioner in Blountstown, Florida. Qualified in 2021, 5 years ago. Practices with Florida Department of Health, a 129-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

19611 FL-20 W
Blountstown, FL 32424
Phone: (850) 674-5645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11015583 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9435556 (FL)

Record details

NPI number1932741840
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 11, 2019
Last updated in NPPESNovember 12, 2021
Certification dateOctober 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Department Of Health — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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