Healthcare Provider Details

I. General information

NPI: 1275772923
Provider Name (Legal Business Name): MARY ASHLEY BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2009
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 SKYLINE CIR
DICKSON TN
37055-2561
US

IV. Provider business mailing address

275 CUMBERLAND BND
NASHVILLE TN
37228-1805
US

V. Phone/Fax

Practice location:
  • Phone: 866-816-0433
  • Fax:
Mailing address:
  • Phone: 615-726-3340
  • Fax: 615-743-1687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number13965
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: