Individual
MRS. BROOKE SHOEMAKER MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
UNIVERSITY WELLNESS CENTER 604 UNIVERSITY AVENUE, SEWANEE, TN 37383-3763
(931) 598-1270
Mailing address
1807 ROSEBERRY DR, SCOTTSBORO, AL 35769-3960
(205) 915-3910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-116290
AL
363LF0000X
Family Nurse Practitioner
Primary
30794
TN
363LS0200X
School Nurse Practitioner
30794
TN
Other
Enumeration date
11/08/2011
Last updated
03/05/2025
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