Individual
DESIREE CADELL BROCK-HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3062 MAIN ST, PIKEVILLE, TN 37367-5746
(423) 447-2955
Mailing address
PO BOX 349, PIKEVILLE, TN 37367-0349
(423) 447-2994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21997
TN
Other
Enumeration date
12/01/2016
Last updated
09/01/2022
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