Individual
LACEY JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E 16TH AVE, CORDELE, GA 31015-1513
(229) 271-9330
(229) 271-9245
Mailing address
711 E 16TH AVE, CORDELE, GA 31015-1513
(229) 271-9330
(229) 271-9245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP259107
GA
Other
Enumeration date
02/14/2025
Last updated
11/11/2025
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