Lori Jean Brooks, ANP

Individual provider Active NPI Adult Health Nurse Practitioner · Mountain Home, TN

NPI 1497710529 · NPPES record last updated Aug 5, 2010

Key facts

NPI
1497710529
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
APN0000007301 (TN)
Practice address
Veterans Administration Center
Mountain Home, TN 37684
Phone
(423) 926-1171
NPI assigned
Apr 20, 2006
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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000007301TNMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000007301 TN Yes

Addresses

Primary practice location

Veterans Administration Center
Mountain Home, TN 37684

Mailing address

200 Hollydale Dr
Kingsport, TN 37663-3664
Phone (423) 239-1008

Other providers in Mountain Home, TN

All providers in Mountain Home, TN · Adult Health Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.