Individual
MS. LUDELLA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
122 CANAL STREET SUITE 102, POOLER, GA 31322-4258
(912) 450-0998
(912) 450-0999
Mailing address
122 CANAL STREET SUITE 102, POOLER, GA 31322-4258
(912) 450-0998
(912) 450-0999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN064864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153640219D
—
GA
05
—
153640219E
—
GA
05
—
153640219H
—
GA
05
—
NP0884
—
SC
01
—
P00418168
RR MEDICARE
GA
Enumeration date
08/16/2006
Last updated
05/08/2025
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