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NPI Code Detail

MEDICARE: MRS. CARMEN LYNETTE BROWN FNP

MEDICARE: MRS. CARMEN LYNETTE 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
1363LF0000XFamily Nurse PractitionerF0810065LA
2363LF0000XFamily Nurse PractitionerAPRN06264LA

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 : 1295041796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN LYNETTE BROWN FNP
Provider Business Mailing Address
First Line : 806 JEFFERSON TER
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-5727
Country : US
Telephone Number : 337-365-4945
Fax Number :
Provider Business Practice Location Address
First Line : 806 JEFFERSON TER
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-5727
Country : US
Telephone Number : 337-365-4945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 10/16/2019

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