Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Elizabeth Brock

Individual provider Family Nurse Practitioner · NPI 1609601699

Samantha Elizabeth Brock is a Family Nurse Practitioner in Bolivar, Tennessee. Works from 5 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone: (731) 658-3388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 42277 (TN)

Record details

NPI number1609601699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2024
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Other providers in Bolivar