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MALLORY JO BROOKS NP
NPI 1467051151
Nurse Practitioner - Pediatrics in La Follette, TN

Active since October 22, 2020
2221 JACKSBORO PIKE STE C4, LA FOLLETTE, TN 37766(423) 566-3488(866) 722-3453 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Feb 12, 2025, Oct 3, 2022 and 3 more (6 updates tracked since 2020).

About Mallory Jo Brooks Np NPPES

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

MALLORY JO BROOKS NP (NPI 1467051151) is an individual pediatrics provider in La Follette, Tennessee, licensed in Tennessee (30895) and active in the NPI registry since October 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467051151
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMALLORY JO BROOKSCredential: NP
Location Address2221 JACKSBORO PIKE STE C4La Follette, TN 37766-3007
Mailing AddressPo Box 15004Knoxville, TN 37901-5004 · (865) 541-8895 · Fax (865) 633-4808
Phone(423) 566-3488
Fax(866) 722-3453
Sole ProprietorNo
Enumeration DateOctober 22, 2020
Last NPPES UpdateJuly 8, 20256 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1467051151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 30895
2221 JACKSBORO PIKE STE C4, La Follette, TN 37766
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12130 N. Charles Seivers Blvd., Suite 4Clinton, TN 37716-6705 · Phone (865) 457-4044 · Fax (866) 699-4833
Location 21705 Roane State HwyHarriman, TN 37748-8306 · Phone (865) 316-5001 · Fax (865) 376-3713
Location 3801 Oak Ridge TurnpikeOak Ridge, TN 37830-6916 · Phone (865) 482-4088 · Fax (866) 674-2033

Other Identifiers 1

MedicaidQ074118TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Pediatrics
2221 JACKSBORO PIKE STE C4
LA FOLLETTE, TN 37766
Campbell County (423) 566-3488
SUSAN REBECCA MILLS CPNP
Nurse Practitioner (Pediatrics)
2221 JACKSBORO PIKE STE C4
LA FOLLETTE, TN 37766
Campbell County (423) 566-3488
LINDSEY PRESLEY BULL DO
Pediatrics
2221 JACKSBORO PIKE STE C4
LA FOLLETTE, TN 37766
Campbell County (423) 566-3488

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 Mallory Brooks's NPI number?

The NPI number for Mallory Brooks is 1467051151. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Mallory Brooks located?

Mallory Brooks practices at 2221 Jacksboro Pike Ste C4, La Follette, TN 37766. The listed phone number is (423) 566-3488.

What is Mallory Brooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mallory Brooks was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.