MEDICARE: KARRI L. BROWN N.P.

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	363L00000X	Nurse Practitioner	209007913	IL
2	363LF0000X	Family Nurse Practitioner	277002462	IL

General Provider Information

NPI Number	:	1184856825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARRI L. BROWN N.P.

Provider Business Mailing Address
First Line	:	611 W. PARK ST.
Second Line	:	BWPC
City	:	URBANA
State	:	IL
Zip	:	61801-2500
Country	:	US
Telephone Number	:	217-383-6792
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 HURST DR.
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-2500
Country	:	US
Telephone Number	:	217-258-5900
Fax Number	:	217-258-5904

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

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	05/27/2026

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