Individual
MRS. LORI JEAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
VETERANS ADMINISTRATION CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
200 HOLLYDALE DR, KINGSPORT, TN 37663-3664
(423) 239-1008
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000007301
TN
Other
Enumeration date
04/20/2006
Last updated
08/05/2010
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