Individual
BROOKE NICOLE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 CONNER RD, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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