person
La Wanna Wallen Brock, FNP,APN
Family Nurse Practitioner in Tazewell, Tennessee
NPI 1407932387

La Wanna Wallen Brock is a Family Nurse Practitioner based in Cumberland Gap, TN and is specialized in Family. La Wanna Wallen Brock practices in Tazewell, TN and has the professional credentials of FNP,APN. The NPI Number for La Wanna Wallen Brock is 1407932387 and holds a License No. APN6601 (Tennessee).

The current practice location address for La Wanna Wallen Brock is 1442 North Broad Street, Tazewell, TN and can be reached out via phone at 423-626-6145 and via fax at 423-526-2804.

Location: 1442 North Broad Street, Tazewell, TN, 37724-4444
person
Provider Profile Details
NPI Number
1407932387
Provider Name
La Wanna Wallen Brock
Credential
FNP,APN
Provider Entity Type
Individual
Gender
Female
Address
1442 North Broad Street, Tazewell, TN, 37724-4444
Phone Number
423-626-6145
Fax Number
423-526-2804
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1442 North Broad Street
City
State
Zip
37879
Phone Number
423-626-6145
Fax Number
423-526-2804
person
Provider Business Mailing Address Details
Address
1442 North Broad Street
City
State
Zip
37879
Phone Number
423-626-6145
Fax Number
423-526-2804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN6601 (Tennessee)
Definition
Definition to come...
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