Individual provider · Type 1 NPI

Samantha Elizabeth Brock

Family Nurse Practitioner · Bolivar, TN

NPI number 1609601699 Active

Practice location

629 Nuckolls Rd
Bolivar, TN 38008-1599

Other practice locations

  • 627 Nuckolls Road, Bolivar, TN 38008 · (731) 600-1063
  • 1132 Industrial Dr, Henderson, TN 38340-1310 · (731) 983-3175
  • 445 Nuckolls Rd, Bolivar, TN 38008-1539 · (731) 658-2902
  • 17 1st St E, Stanton, TN 38069-4426 · (731) 548-2232

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X42277 (TN)

Family Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1609601699

Samantha Elizabeth Brock's National Provider Identifier is 1609601699, issued on Sep 7, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bolivar, TN. The record was last updated on Jul 24, 2026.