Provider Demographics
NPI:1154828416
Name:ROGERS, BROOKE ELAINE (NP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:ELAINE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 ALCOA HWY STE B127
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1522
Mailing Address - Country:US
Mailing Address - Phone:865-305-8787
Mailing Address - Fax:
Practice Address - Street 1:1928 ALCOA HWY STE B127
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1522
Practice Address - Country:US
Practice Address - Phone:865-730-5878
Practice Address - Fax:865-305-8261
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11017033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily