Doctor Name: | REBECCA PURSLEY BROWN |
NPI Number: | 1144568650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 0263 |
Business Practice Address: | 128 Camelot Dr Gaffney, SC - 293411012 |
Business Phone Number: | 8644890260 |
Business Fax Number: | 8645910744 |
Mailing Address: | 128 Camelot Dr, GAFFNEY |
State: | SC |
Postal Code: | 293411012 |
Phone Number: | 8644890260 |
Fax Number: | 8645910744 |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |