Individual
INESSA PAVLOVNA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
980 PROFESSIONAL PARK DR, SUITE A, CLARKSVILLE, TN 37040-5251
(931) 905-1001
(931) 905-0410
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2887
TN
363AS0400X
Surgical Physician Assistant
2887
TN
Other
Enumeration date
01/05/2016
Last updated
12/30/2021
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