Healthcare Provider Details

I. General information

NPI: 1033527213
Provider Name (Legal Business Name): TALEA BROWN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 POPLAR AVE SUITE 501
MEMPHIS TN
38112-3213
US

IV. Provider business mailing address

364 N PARKWAY STE 6
JACKSON TN
38305-2874
US

V. Phone/Fax

Practice location:
  • Phone: 901-701-2580
  • Fax: 901-260-8590
Mailing address:
  • Phone: 713-736-4445
  • Fax: 731-736-2435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number18989
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18989
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: