Healthcare Provider Details

I. General information

NPI: 1568959427
Provider Name (Legal Business Name): SARAH MARIE BROWN APRN, NP-C, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 S FLEISHEL AVE
TYLER TX
75701-2042
US

IV. Provider business mailing address

1130 E HAWKINS PKWY 7209
LONGVIEW TX
75605-8145
US

V. Phone/Fax

Practice location:
  • Phone: 903-646-5350
  • Fax:
Mailing address:
  • Phone: 903-399-5807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberAP136908
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP136908
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: