# MS. ASADRA SUE BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700836111
- **Gender:** F
- **Credential:** PMH/NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 201352 | NC | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12767 | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 6113019 | — | NC |
| 01 | — | P00006471 | MEDICARE RAILROAD | NC |
| 01 | — | QNP016 | SOUTH CAROLINA MEDICAID | SC |