Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN197433 | GA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | RN197433 | GA |
N | 363LP2300X | Nurse Practitioner - Primary Care | GA197433 | GA |
N | 363LW0102X | Nurse Practitioner - Women's Health | RN197433 | GA |
NPI | 1003252412 |
---|---|
Provider Name | Dr. Brandy Brown |
First Address | Snellville, GA 30078-3115 |
Second Address | Snellville, GA 30078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 10/10/2019 |