Individual
MRS. MAKENZIE BROOKE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
2315 DEEP DRAW RD, CROSSVILLE, TN 38555-1508
(931) 787-4479
Mailing address
2315 DEEP DRAW RD, CROSSVILLE, TN 38555-1508
(931) 787-4479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40873
TN
363L00000X
Nurse Practitioner
Primary
40873
TN
Other
Enumeration date
04/13/2026
Last updated
05/06/2026
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