Individual
KELLIE BROOKE MIRALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 W MORRIS BLVD STE 3, MORRISTOWN, TN 37813-3870
(423) 839-0036
Mailing address
170 CLAIRE PL, TALBOTT, TN 37877-1704
(865) 307-5271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
39497
TN
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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