# MRS. TESHAMA NICHOLE BROCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497071658
- **Gender:** F
- **Credential:** R.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 200942602RN | OR | — |
| 163W00000X | Registered Nurse | RN 9291520 | FL | — |
| 163WH0200X | Home Health Registered Nurse | RN60174365 | WA | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 10/02/2024