Individual
CHARLESETTA NICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1699 S 14TH ST STE 10, FERNANDINA BEACH, FL 32034-1964
(904) 450-6640
Mailing address
5791 UNIVERSITY CLUB BLVD N UNIT 309, JACKSONVILLE, FL 32277-9407
(904) 521-2115
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
208444
LA
363L00000X
Nurse Practitioner
208444
LA
363LF0000X
Family Nurse Practitioner
208444
LA
363LF0000X
Family Nurse Practitioner
Primary
APRN11002310
FL
Other
Enumeration date
10/30/2019
Last updated
07/30/2024
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