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Individual

ELIZABETH ASHLEY BROCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
(931) 559-6900
(931) 548-6909
Mailing address
768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
(931) 559-6900
(931) 548-6909

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3593
TN
363A00000X
Physician Assistant
PA9105186
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q044474
TN
Enumeration date
09/23/2009
Last updated
11/07/2025
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