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

Individual provider Family Nurse Practitioner · NPI 1982446225

Destiny Grace Broom, FNP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2024, 2 years ago. Practices with Neuro Care of Louisiana, LLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

134 Marion Ave
McComb, MS 39648-3620
Phone: (601) 300-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 112 Sheffield Loop Ste B, Hattiesburg, MS 39402-1406 — (601) 501-7203

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906701 (MS)

Record details

NPI number1982446225
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 8, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Neuro Care Of Louisiana, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in McComb