Healthcare Provider Details

I. General information

NPI: 1982533576
Provider Name (Legal Business Name): KERRY FAITH BROWN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N ELM ST
HIGH POINT NC
27262-4331
US

IV. Provider business mailing address

3994 BROWN OAKS RD
RANDLEMAN NC
27317-7713
US

V. Phone/Fax

Practice location:
  • Phone: 336-209-7749
  • Fax:
Mailing address:
  • Phone: 336-209-7749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number346217
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: