Healthcare Provider Details
I. General information
NPI: 1821183500
Provider Name (Legal Business Name): JOANNE ELIZABETH BROWN A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
740 S LIMESTONE ST
LEXINGTON KY
40536-0284
US
IV. Provider business mailing address
753 RAINWATER DR
LEXINGTON KY
40515-6026
US
V. Phone/Fax
- Phone: 859-323-5823
- Fax: 859-323-1119
- Phone: 859-271-3843
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 2733P |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 2733P |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: