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NPI Code Detail

MEDICARE: AMANDA CHERYL BROCKMAN NP-C, FNP-BC

MEDICARE: AMANDA CHERYL BROCKMAN NP-C, FNP-BC
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
1363LF0000XFamily Nurse Practitioner0000024726TN

General Provider Information

NPI Number : 1508332651
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CHERYL BROCKMAN NP-C, FNP-BC
Provider Business Mailing Address
First Line : 4432 VETERANS PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-3977
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4432 VETERANS PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-3977
Country : US
Telephone Number : 615-969-1995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2018
Last Update Date : 10/16/2018

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Directions to “ AMANDA CHERYL BROCKMAN NP-C, FNP-BC” Practice Location

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