Doctor Name: | MS. BARBARA ACKER BROCK |
NPI Number: | 1326164393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP,MSN,IBCLC |
License Number: | APN005548 |
Business Practice Address: | 931 Industrial Park Rd Suite 200 Dandridge, TN - 377254701 |
Business Phone Number: | 8653973930 |
Business Fax Number: | |
Mailing Address: | 931 Industrial Park Rd, Suite 200 DANDRIDGE |
State: | TN |
Postal Code: | 377254701 |
Phone Number: | 8653973930 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN005548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |