Individual
MEGAN BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
35 JOSHUA LN, HAWESVILLE, KY 42348-3500
(270) 927-1000
Mailing address
35 JOSHUA LN, HAWESVILLE, KY 42348-3500
(270) 927-1000
(270) 927-1077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71006774A
IN
363LF0000X
Family Nurse Practitioner
28223788A
IN
363LF0000X
Family Nurse Practitioner
71006774A
IN
Other
Enumeration date
10/06/2016
Last updated
01/29/2024
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