Individual
KENYATTA CARNELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC,PMHNP-BC
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4800
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN-NP239564
GA
363LF0000X
Family Nurse Practitioner
Primary
RN239564
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP239564
GA
Other
Enumeration date
05/28/2019
Last updated
01/15/2026
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