Individual
ALEXIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
238 HUGH SHELTON LOOP, FAYETTEVILLE, NC 28301-3485
(313) 421-2558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
Primary
0010-12736
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2019
Last updated
07/22/2025
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