Brookelyn Carr, B.A.

Individual provider Active NPI Case Manager/Care Coordinator · Lenoir City, TN

NPI 1487023610 · NPPES record last updated Sep 17, 2015

Key facts

NPI
1487023610
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
501 Adessa Pkwy
Suite a-150
Lenoir City, TN 37771-6725
Phone
(865) 986-8082
Fax
(865) 986-5890
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

501 Adessa Pkwy
Suite a-150
Lenoir City, TN 37771-6725

Mailing address

6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565

Other names

  • Brookelyn Nichole Clark Former name

Other providers in Lenoir City, TN

All providers in Lenoir City, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.