Healthcare Provider Details

I. General information

NPI: 1154262582
Provider Name (Legal Business Name): MR. JOEY BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7913 TOWER COURT RD
SEVERN MD
21144-1502
US

IV. Provider business mailing address

PO BOX 84
HANOVER MD
21076-0084
US

V. Phone/Fax

Practice location:
  • Phone: 410-841-8624
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR223850
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: