NPI 1467051151 · live from the CMS NPI Registry
Mallory Jo Brooks, NP
Nurse Practitioner, Pediatrics in La Follette, TN. National Provider Identifier 1467051151, active.
NPI record
| NPI | 1467051151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 |
| Practice phone | 423-566-3488 |
| Mailing address | Po Box 15004, Knoxville, TN 37901 |
| Enumerated | October 22, 2020 |
| Last updated | July 8, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 30895 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.