MEDICARE: ANITRA DOLORES ELLERBY-BROWN FNP-BC, CNM

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
1	367A00000X	Advanced Practice Midwife	13719	TN
2	363LF0000X	Family Nurse Practitioner	13719	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4292536	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1780810721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITRA DOLORES ELLERBY-BROWN FNP-BC, CNM

Provider Business Mailing Address
First Line	:	2000 MALLORY LN STE 290
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6287
Country	:	US
Telephone Number	:	615-236-6408
Fax Number	:	949-312-3999

Provider Business Practice Location Address
First Line	:	2000 MALLORY LN STE 290
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6287
Country	:	US
Telephone Number	:	615-236-6408
Fax Number	:	949-312-3999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2009
Last Update Date	:	01/22/2026

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