Individual
LUCIE SHINALL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
(706) 291-8380
Mailing address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
(770) 427-8001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN169622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112882A
—
GA
Enumeration date
07/08/2011
Last updated
05/17/2021
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