Healthcare Provider Details

I. General information

NPI: 1447297445
Provider Name (Legal Business Name): LOIS V BROWN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3634 IRONWOOD DR
MEMPHIS TN
38115-4901
US

IV. Provider business mailing address

3634 IRONWOOD DR
MEMPHIS TN
38115-4901
US

V. Phone/Fax

Practice location:
  • Phone: 901-363-2107
  • Fax: 901-363-2165
Mailing address:
  • Phone: 901-363-2107
  • Fax: 901-363-2165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN31993
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN31993
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: