Doctor Name: | MRS. TERESA LYNNE BROWN |
NPI Number: | 1083057996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-CNP |
License Number: | 49257 |
Business Practice Address: | 211 West Gentry Avenue Mcintosh County Health Department Checotah, OK - 74469 |
Business Phone Number: | 9184735416 |
Business Fax Number: | 9184731841 |
Mailing Address: | 211 West Gentry Avenue, Mcintosh County Health Department CHECOTAH |
State: | OK |
Postal Code: | 74469 |
Phone Number: | 9183482368 |
Fax Number: | 9184731841 |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 49257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |