Healthcare Provider Details

I. General information

NPI: 1699610907
Provider Name (Legal Business Name): BROOKLYN MICHELLE GARNER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 3RD AVE SE
WINCHESTER TN
37398-1570
US

IV. Provider business mailing address

100 3RD AVE SE
WINCHESTER TN
37398-1570
US

V. Phone/Fax

Practice location:
  • Phone: 931-392-4749
  • Fax: 931-967-0284
Mailing address:
  • Phone: 931-392-4749
  • Fax: 931-967-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41741
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: