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Individual
GWENDOLYN CLARK BROWN
Active
Individual
GWENDOLYN CLARK BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP112485
TX
363LF0000X
Family Nurse Practitioner
Primary
AP112485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165647201
—
TX
05
—
165647203
—
TX
01
—
8N4436
BCBS
TX
01
—
P00125344
RAILROAD
TX
Enumeration date
10/17/2006
Last updated
07/13/2022
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