Individual
BROOKLYNN SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3500 FRANCISCAN WAY STE 300, MICHIGAN CITY, IN 46360-0033
(219) 861-8785
(219) 861-8789
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010373A
IN
Other
Enumeration date
09/24/2020
Last updated
08/07/2024
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