Search › Tennessee › Pediatric Nurse Practitioner
Mallory Brooks, NP
NPI 1467051151 · on the registry since 2020
Practice
- Address
- 2221 Jacksboro Pike Ste C4
La Follette, TN 37766 - Phone
- (423) 566-3488
- Fax
- (866) 722-3453
- Organisation at this address
- Revive Primary Care And Medspa Pllc
East Tennessee Children'S Hospital Primary Care Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 2130 N. Charles Seivers Blvd., Suite 4, Clinton, TN
- 1705 Roane State Hwy, Harriman, TN
- 801 Oak Ridge Turnpike, Oak Ridge, TN
Registry record
- Primary taxonomy
- Pediatric Nurse Practitioner
363LP0200X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee