Healthcare Provider Details

I. General information

NPI: 1629722376
Provider Name (Legal Business Name): CORI BETH SUTTON BROWN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MEREDYTH DR
ALBANY GA
31707-2267
US

IV. Provider business mailing address

2701 MEREDYTH DR
ALBANY GA
31707-2267
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-7010
  • Fax:
Mailing address:
  • Phone: 229-883-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP258271
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: