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Individual

DR. AVANTI CROSS-BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP, CARN-AP

Contact information

Practice address
793 TENNESSEE ST, BOLIVAR, TN 38008-2441
(901) 864-9563
(901) 425-9773
Mailing address
793 TENNESSEE ST, BOLIVAR, TN 38008-2441
(731) 228-9068
(901) 425-9773

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210549
TN
2084P0802X
Addiction Psychiatry Physician
29813
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29813
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29813
APRN
TN
01
905993
APRN
MS
Enumeration date
06/19/2020
Last updated
09/17/2025
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