Healthcare Provider Details

I. General information

NPI: 1013365378
Provider Name (Legal Business Name): JAMES BROWN DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 FOXWOOD CT
VALPARAISO IN
46385-8949
US

IV. Provider business mailing address

80 FOXWOOD CT
VALPARAISO IN
46385-8949
US

V. Phone/Fax

Practice location:
  • Phone: 219-241-5526
  • Fax: 219-777-9992
Mailing address:
  • Phone: 219-241-5526
  • Fax: 219-777-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005977A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71005977A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: