person
Mallory Jo Brooks, NP
Pediatric Nurse Practitioner in La Follette, Tennessee
NPI 1467051151

Mallory Jo Brooks is a Pediatric Nurse Practitioner based in Knoxville, TN and is specialized in Pediatrics. Mallory Jo Brooks practices in La Follette, TN and has the professional credentials of NP. The NPI Number for Mallory Jo Brooks is 1467051151 and holds a License No. 30895 (Tennessee).

The current practice location address for Mallory Jo Brooks is 2221 Jacksboro Pike Ste C4, La Follette, TN and can be reached out via phone at 423-566-3488 and via fax at 866-722-3453. You can also correspond with Mallory Jo Brooks through the mailing address at PO BOX 15004, KNOXVILLE, TN - 37901-5004 (mailing address contact number: 865-541-8895).

Location: 2221 Jacksboro Pike Ste C4, La Follette, TN, 37901-5004
person
Provider Profile Details
NPI Number
1467051151
Provider Name
Mallory Jo Brooks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2221 Jacksboro Pike Ste C4, La Follette, TN, 37901-5004
Phone Number
423-566-3488
Fax Number
866-722-3453
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q074118 05 TN
institution
Provider Business Practice Location Address Details
Address
2221 Jacksboro Pike Ste C4
City
State
Zip
37766-3007
Phone Number
423-566-3488
Fax Number
866-722-3453
person
Provider Business Mailing Address Details
Address
2221 Jacksboro Pike Ste C4
City
State
Zip
37766-3007
Phone Number
423-566-3488
Fax Number
866-722-3453
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
30895 (Tennessee)
Definition
Definition to come...
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