MEDICARE: KIERRA BROTHERS 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
1	207R00000X	Internal Medicine Physician	F01260617	NC

General Provider Information

NPI Number	:	1609724970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERRA BROTHERS FNP

Provider Business Mailing Address
First Line	:	106 FANNIE DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-7009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 MILL END CT
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-8986
Country	:	US
Telephone Number	:	252-338-5183
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ KIERRA BROTHERS FNP” Practice Location

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