MEDICARE: MRS. ALYSSA MAE BROWN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	202100187NP-PP	OR
2	363LF0000X	Family Nurse Practitioner	0024185858	VA

General Provider Information

NPI Number	:	1093303786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALYSSA MAE BROWN FNP

Provider Business Mailing Address
First Line	:	617 SADDLEHORN DR
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-1303
Country	:	US
Telephone Number	:	757-793-7815
Fax Number	:

Provider Business Practice Location Address
First Line	:	4677 COLUMBUS ST
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6746
Country	:	US
Telephone Number	:	757-463-2540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	06/12/2025

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