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Individual

SHAWN C BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
2711 S MEADOWBROOK AVE, SPRINGFIELD, MO 65807-5924
(417) 887-0081
Mailing address
2711 S MEADOWBROOK AVE, SPRINGFIELD, MO 65807-5924
(417) 887-0081

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106676
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629065073
MO
01
P01038081
RR CARE
MO
Enumeration date
09/30/2005
Last updated
12/19/2019
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