Individual
DEIDRE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
321 W ATHENS ST, ENGLEWOOD, TN 37329-3269
(423) 887-7100
(423) 606-0122
Mailing address
PO BOX 147, ENGLEWOOD, TN 37329-0147
(423) 887-7100
(423) 606-0122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21653
TN STATE LICENSE
TN
Enumeration date
08/31/2016
Last updated
08/31/2016
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