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General NPI Number Information
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NPI Number | 1760853998
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Entity Type | Individual
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Provider Name | CARLA BROWN CNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 6488 103RD ST STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32210
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Country | US
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Telephone | 904-450-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 6488 103RD ST STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32210-7161
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Country | US
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Telephone | 904-450-6810
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039633
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.18221
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License Number State | OH
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