Provider Demographics
NPI:1134983778
Name:POPPLEWELL, BROOKE JONES (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:JONES
Last Name:POPPLEWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FOREST HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-5100
Mailing Address - Country:US
Mailing Address - Phone:423-754-1326
Mailing Address - Fax:
Practice Address - Street 1:110 FOREST HILLS RD
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-5100
Practice Address - Country:US
Practice Address - Phone:423-754-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily