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Individual

MS. NELLE MARIE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CS FNP

Contact information

Practice address
1718 EXECUTIVE DR, KOKOMO, IN 46902-3278
(765) 438-1467
Mailing address
1718 EXECUTIVE DR, KOKOMO, IN 46902-3278

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000436A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000612059
ANTHEM PIN
IN
05
200249590
IN
Enumeration date
12/01/2006
Last updated
11/13/2023
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