Individual
JOHNISHA S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-BC
Contact information
Practice address
2555 N DR MARTIN LUTHER KING JR DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 464-6321
Mailing address
2555 N MLK DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
233692-30
WI
363L00000X
Nurse Practitioner
13701-33
WI
363LF0000X
Family Nurse Practitioner
Primary
13701-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229960
—
WI
Enumeration date
03/09/2023
Last updated
07/03/2024
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