Healthcare Provider Details

I. General information

NPI: 1689469124
Provider Name (Legal Business Name): LYNN SLOANE BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RIVERS BREEZE DR
LUDLOW KY
41016-1712
US

IV. Provider business mailing address

600 RIVERS BREEZE DR
LUDLOW KY
41016-1712
US

V. Phone/Fax

Practice location:
  • Phone: 859-640-7942
  • Fax: 859-581-0096
Mailing address:
  • Phone: 859-640-7942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4036916
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: