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NPI Code Detail

MEDICARE: MRS. KATHLEEN MARIE BROWN APRN,AGPCNP-BC, ANCC

MEDICARE:  MRS. KATHLEEN MARIE BROWN  APRN,AGPCNP-BC, ANCC
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
1363LF0000XFamily Nurse PractitionerAPRN11020102FL
2363L00000XNurse PractitionerAPRN11020102FL
3363LA2200XAdult Health Nurse Practitioner11020102FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184354615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN MARIE BROWN APRN,AGPCNP-BC, ANCC
Provider Business Mailing Address
First Line : PO BOX 746654
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6654
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 600
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-202-7300
Fax Number : 904-202-2754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2022
Last Update Date : 01/22/2026

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Directions to “ MRS. KATHLEEN MARIE BROWN APRN,AGPCNP-BC, ANCC” Practice Location

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