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Contact Information

MALLORY J BROOKS, NP
2221 JACKSBORO PIKE STE C4
LAFOLLETTE, TN37766-3007
 Phone: 423-566-3488
 Fax: 866-722-3453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MALLORY J BROOKS · (Female)

NPI # 1467051151
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/22/2020
Last updated 07/08/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 30895
  • TN Medicaid Q074118
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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