Healthcare Provider Details

I. General information

NPI: 1760134936
Provider Name (Legal Business Name): HILLARY BREWER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 UNION UNIVERSITY DR
JACKSON TN
38305-3855
US

IV. Provider business mailing address

257 BANCORP SOUTH PKWY # TN38305
JACKSON TN
38305-7582
US

V. Phone/Fax

Practice location:
  • Phone: 731-664-0103
  • Fax:
Mailing address:
  • Phone: 731-660-8759
  • Fax: 731-660-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30995
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: