Healthcare Provider Details

I. General information

NPI: 1205374139
Provider Name (Legal Business Name): JOYCE BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2017
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MILLTOWN RD STE 2
WILMINGTON DE
19808-4047
US

IV. Provider business mailing address

110 W 24TH ST
CHESTER PA
19013-5025
US

V. Phone/Fax

Practice location:
  • Phone: 302-543-6165
  • Fax:
Mailing address:
  • Phone: 267-496-7902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP017074
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP-0000190
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: