Healthcare Provider Details

I. General information

NPI: 1316565666
Provider Name (Legal Business Name): CAITLIN JO BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2724 NASHVILLE RD
BOWLING GREEN KY
42101-4000
US

IV. Provider business mailing address

201 PARK ST
BOWLING GREEN KY
42101-1708
US

V. Phone/Fax

Practice location:
  • Phone: 270-783-3338
  • Fax: 270-780-0468
Mailing address:
  • Phone: 270-783-3338
  • Fax: 270-780-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3014764
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: