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NPI Code Detail

MEDICARE: KANDICE DI-ANN BROWN AGNP-C

MEDICARE: KANDICE DI-ANN BROWN AGNP-C
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
1363LA2200XAdult Health Nurse Practitioner5016832NC
2363LG0600XGerontology Nurse Practitioner5016832NC
3363LP2300XPrimary Care Nurse Practitioner5016832NC

General Provider Information

NPI Number : 1184343584
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDICE DI-ANN BROWN AGNP-C
Provider Business Mailing Address
First Line : 1137 TRENTINI AVE
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-4307
Country : US
Telephone Number : 252-363-4762
Fax Number :
Provider Business Practice Location Address
First Line : 101 CABARRUS AVE E
Second Line :
City : CONCORD
State : NC
Zip : 28025-3699
Country : US
Telephone Number : 888-849-7379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2022
Last Update Date : 01/17/2026

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