Individual
EMA ROSE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28259532A
IN
363L00000X
Nurse Practitioner
Primary
71015195A
IN
Other
Enumeration date
04/11/2024
Last updated
05/24/2024
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