Individual
MRS. KERA TAHMARA DIGGS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROPRIETOR
Contact information
Practice address
4724 GRASSET AVE, CHARLOTTE, NC 28269-4025
(980) 875-8693
Mailing address
4724 GRASSET AVE, CHARLOTTE, NC 28269-4025
(980) 875-8693
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HC5105
NC
172V00000X
Community Health Worker
HC5105
NC
385H00000X
Respite Care
HC5105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3892146
DIVERS LICENSE
NC
01
—
HC5105
BUSINESS LICENSE
—
Enumeration date
07/29/2019
Last updated
04/30/2020
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