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Individual

MRS. LISA SPARKS BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, APRN-BC

Contact information

Practice address
1105 S MAIN ST, KERNERSVILLE, NC 27284-7478
(336) 996-4021
Mailing address
1605 VILLAGE PL, WINSTON-SALEM, NC 27127-5817
(336) 784-1501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
094857
NC

Other

Enumeration date
10/24/2005
Last updated
01/28/2009
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