Healthcare Provider Details

I. General information

NPI: 1295435873
Provider Name (Legal Business Name): ENCOMPASS FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 GRADY RD
ETOWAH TN
37331-1903
US

IV. Provider business mailing address

315 GRADY RD
ETOWAH TN
37331-1903
US

V. Phone/Fax

Practice location:
  • Phone: 423-887-7100
  • Fax: 423-606-0122
Mailing address:
  • Phone: 423-887-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEIDRE BROWN
Title or Position: FAMILY NURSE PRACTITIONER/OWNER
Credential: APRN
Phone: 423-887-7100