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NPI Code Detail

MEDICARE: ROBERT BROWN FNP

MEDICARE: ROBERT 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 Practitioner13390TN
2363LF0000XFamily Nurse PractitionerARNP9276601FL

General Provider Information

NPI Number : 1831345776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT BROWN FNP
Provider Business Mailing Address
First Line : 2500 PERES AVE
Second Line : SUITE 101
City : MEMPHIS
State : TN
Zip : 38108-1660
Country : US
Telephone Number : 901-515-5500
Fax Number : 901-515-4599
Provider Business Practice Location Address
First Line : 2500 PERES AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38108-1660
Country : US
Telephone Number : 901-515-5500
Fax Number : 901-515-4599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 06/24/2013

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