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NPI Code Detail

MEDICARE: GENESIS BROWN NP

MEDICARE:   GENESIS  BROWN  NP
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
1363L00000XNurse Practitioner0024177955VA

General Provider Information

NPI Number : 1538712369
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS BROWN NP
Provider Business Mailing Address
First Line : 1680 CAPITAL ONE DR # C2
Second Line :
City : MC LEAN
State : VA
Zip : 22102-3407
Country : US
Telephone Number : 703-720-1290
Fax Number : 703-720-1291
Provider Business Practice Location Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2019
Last Update Date : 12/23/2025

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