Healthcare Provider Details

I. General information

NPI: 1235598475
Provider Name (Legal Business Name): TERI BROWN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 COMPUTER DR STE 200
RALEIGH NC
27609-6506
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-5273
  • Fax: 919-781-8853
Mailing address:
  • Phone: 984-215-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5008377
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: