Healthcare Provider Details

I. General information

NPI: 1033712195
Provider Name (Legal Business Name): ASHLEE BROWN MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BOWEN CT
CARTERSVILLE GA
30120-2493
US

IV. Provider business mailing address

5 BOWEN CT
CARTERSVILLE GA
30120-2493
US

V. Phone/Fax

Practice location:
  • Phone: 770-637-7474
  • Fax:
Mailing address:
  • Phone: 678-848-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN0000033013
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN258479
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN258479
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: