Provider Demographics
NPI:1962559765
Name:BROOKS, MICHELLE ELISE (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ELISE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE 640
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-390-1215
Mailing Address - Fax:866-878-2949
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE 640
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-390-1215
Practice Address - Fax:866-878-2949
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN420622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry