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NPI Code Detail

MEDICARE: MRS. BRANDY BROWNING FOWLER DNP

MEDICARE: MRS. BRANDY BROWNING FOWLER DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner5010681NC
2363LA2200XAdult Health Nurse Practitioner5010681NC

General Provider Information

NPI Number : 1598241721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRANDY BROWNING FOWLER DNP
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 309 PINEYWOOD RD
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-3438
Country : US
Telephone Number : 336-475-8121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 01/14/2026

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