Healthcare Provider Details

I. General information

NPI: 1033014154
Provider Name (Legal Business Name): CECILLA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6823 SAINT CHARLES AVE
NEW ORLEANS LA
70118-5665
US

IV. Provider business mailing address

2247 PINE VALLEY DR
LA PLACE LA
70068-1614
US

V. Phone/Fax

Practice location:
  • Phone: 504-493-0110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number248403
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: