LA WANNA WALLEN BROCK F.N.P., A.P.N.
NPI 1407932387
Nurse Practitioner - Family in Tazewell, TN

Q: What is La Wanna Brock's NPI number?

The NPI number for La Wanna Brock is 1407932387. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is La Wanna Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for La Wanna Brock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2006

1442 NORTH BROAD STREET, SUITE 7, TAZEWELL, TN 37879(423) 626-6145(423) 526-2804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About La Wanna Wallen Brock F.n.p., A.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA WANNA WALLEN BROCK F.N.P., A.P.N. (NPI 1407932387) is an individual family provider in Tazewell, Tennessee, licensed in Tennessee (APN6601) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1407932387

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLA WANNA WALLEN BROCKCredential: F.N.P., A.P.N.

Location Address1442 NORTH BROAD STREET, SUITE 7Tazewell, TN 37879

Mailing Address1037 Old Jacksboro RdCumberland Gap, TN 37724-4444 · (423) 626-6145 · Fax (423) 526-2804

Phone(423) 626-6145

Fax(423) 526-2804

Sole ProprietorNo

Enumeration DateOctober 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407932387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN6601

1442 NORTH BROAD STREET, Tazewell, TN 37879

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP10034TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Wanna Brock's NPI number?

The NPI number for La Wanna Brock is 1407932387. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is La Wanna Brock located?

La Wanna Brock practices at 1442 North Broad Street Suite 7, Tazewell, TN 37879. The listed phone number is (423) 626-6145.

What is La Wanna Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for La Wanna Brock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.