=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598494338
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALISHA FRANCINE BROWN RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/07/2022
-----------------------------------------------------
Last Update Date | 06/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3350 CLEVELAND AVE STE 1964
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43224-3677
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-523-2929
-----------------------------------------------------
Fax | 614-523-3388
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3350 CLEVELAND AVE STE 1964
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43224-3677
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-523-2929
-----------------------------------------------------
Fax | 614-523-3388
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
-----------------------------------------------------
License Number | RN.407471
-----------------------------------------------------
License Number State | ND
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WP0809X
-----------------------------------------------------
Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
License Number | RN.407471
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------