Individual
MISS JOAN ICILDA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN177358
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN177358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F10181019
CERTIFICATION
GA
Enumeration date
12/17/2018
Last updated
12/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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