Individual
MRS. CRYSTAL D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-5176
(606) 256-5191
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-5176
(606) 256-5191
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1841P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046065
BS
—
01
—
1841P
LICENSE
KY
01
—
7528229
AETNA
—
05
—
78000684
—
KY
Enumeration date
11/16/2005
Last updated
03/18/2025
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