Jeannetta S Brophy, RN
Individual provider Active NPI Community Health Registered Nurse · Jasper, TN
NPI 1912453036 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1912453036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 186165 (TN)
- Practice address
- 24 E 7TH St
Jasper, TN 37347-3301 - Phone
- (423) 942-2238
- NPI assigned
- Aug 29, 2016
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186165 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 186165 | TN | Yes |
Addresses
Primary practice location
24 E 7TH St
Jasper, TN 37347-3301
Mailing address
24 E 7TH St
Jasper, TN 37347-3301
Phone (423) 827-8593
Other providers in Jasper, TN
- Shelia Beard
- Benchmark Healthcare Services LLC
- Best Foot Forward Podiatry, LLC
- Blue Violet Home Care and Community Services L.L.C.
- Nicole Myers Brock
- Damieon Brown
- Sue Marie Bushrow
- Tonya Marie Carter
- Lindsey Cash
- Chastain Family Chiropractic
All providers in Jasper, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.