Individual
ASHLEY L. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 3988, SOUTHERN ILLINOIS MEDICAL SERVICES NFP, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
209014011
IL
363L00000X
Nurse Practitioner
Primary
209014011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP
IL
Enumeration date
04/25/2016
Last updated
02/21/2024
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