Individual
MRS. CAROL ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660
(423) 431-6111
Mailing address
1009 LARK ST STE 2, JOHNSON CITY, TN 37604-8218
(423) 283-0776
(423) 283-0549
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
05
—
100029069
—
TN
01
—
252153
ANTHEM BCBS
—
01
—
3073822
BLUE SHIELD OF TN
—
05
—
3626269
—
TN
05
—
74488107
—
KY
01
—
TN0100
JOHN DEERE
—
Enumeration date
10/19/2005
Last updated
04/24/2019
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