Whitney Broyles, RN
Individual provider Active NPI Community Health Registered Nurse · Sparta, TN
NPI 1912735002 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1912735002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 269748 (TN)
- Practice address
- 135 Walker St
Sparta, TN 38583-1725 - Phone
- (931) 836-2201
- NPI assigned
- Jul 22, 2024
- 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 |
|---|---|---|---|
| 269748 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 269748 | TN | Yes |
Addresses
Primary practice location
135 Walker St
Sparta, TN 38583-1725
Mailing address
135 Walker St
Sparta, TN 38583-1725
Phone (931) 836-2201
Other providers in Sparta, TN
- Daniel Briggs Boyd
- Celisity Bradley
- Bridgeway Counseling
- Amanda Lassie-Rose Brooks
- Stephanie Jane Brown
- Todd Brummet
- David Buchanan
- Stefanie Kinnaird Byd
- Brittany Caleb- Taylor
- Campbell Clinic PC
All providers in Sparta, 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 Jul 22, 2024. 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.