Individual
AMANDA CHEYENNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
139 NW TAFT LN, LAKE CITY, FL 32055-4937
(386) 438-3225
Mailing address
139 NW TAFT LN, LAKE CITY, FL 32055-4937
(386) 438-3225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11018293
FL
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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