Healthcare Provider Details

I. General information

NPI: 1922630417
Provider Name (Legal Business Name): BROOKE N COUNCE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STEAM PLANT RD STE 100A
GALLATIN TN
37066-3056
US

IV. Provider business mailing address

300 STEAM PLANT RD STE 100A
GALLATIN TN
37066-3056
US

V. Phone/Fax

Practice location:
  • Phone: 615-328-4720
  • Fax:
Mailing address:
  • Phone: 615-328-4720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27240
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: