MEDICARE: BROOKWELL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1366072159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKWELL HEALTH LLC

Provider Business Mailing Address
First Line	:	2829 W ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-307-5757
Fax Number	:	844-309-6361

Provider Business Practice Location Address
First Line	:	2825 W ANDREW JOHNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-307-5757
Fax Number	:	844-309-6361

Authorized Official
Title or Position	:	PARTNER
Name	:	JOSEPH HUNTSMAN JR.
Credential	:
Telephone Number	:	423-307-5757

Provider Enumeration Date	:	01/21/2020
Last Update Date	:	05/05/2026

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Directions to “BROOKWELL HEALTH LLC ” Practice Location

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