MEDICARE: SHERRY MICHELLE BROWN FNP-BC

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	363LF0000X	Family Nurse Practitioner	APN0000030343	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1548929920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY MICHELLE BROWN FNP-BC

Provider Business Mailing Address
First Line	:	1401 UNIVERSITY BLVD APT A3
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37660-8460
Country	:	US
Telephone Number	:	423-306-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	1797 FORT HENRY DR
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37664-3226
Country	:	US
Telephone Number	:	423-860-0516
Fax Number	:	423-860-0517

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

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	11/20/2024

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