Individual
BROOKE LASHEA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1500 PINNACLES WAY, NEWPORT, TN 37821-7308
(423) 212-5661
Mailing address
1500 PINNACLES WAY, NEWPORT, TN 37821-7308
(142) 321-2566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95183
TN
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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