Individual provider · Type 1 NPI
Diana Lynn Brockman, FNP
Psychiatric/Mental Health Nurse Practitioner · Jackson, TN
NPI number
1770530347
Active
Practice location
238 Summar Dr
Jackson, TN 38301-3906
Fax (731) 935-8327
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 59629 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Alan F. Spivey, CASE MANAGERCase Manager/Care Coordinator Jackson, TN NPI 1568517324
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About NPI 1770530347
Diana Lynn Brockman, FNP's National Provider Identifier is 1770530347, issued on May 28, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, TN. The record was last updated on Sep 21, 2023.