Healthcare Provider Details

I. General information

NPI: 1376207928
Provider Name (Legal Business Name): CHELSEY BROOKE MILLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 MT VIEW INDUSTRIAL DR
MORRISON TN
37357-5917
US

IV. Provider business mailing address

635 COLLINWOOD DR
MCMINNVILLE TN
37110-4898
US

V. Phone/Fax

Practice location:
  • Phone: 931-668-1103
  • Fax: 931-668-8150
Mailing address:
  • Phone: 931-205-0629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number30622
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: