Doctor Name: | MS. MARY BETH BROWN |
NPI Number: | 1285832360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 3007648 |
Business Practice Address: | 5929 Timber Ridge Dr Prospect, KY - 400598132 |
Business Phone Number: | 5022282507 |
Business Fax Number: | 5022282508 |
Mailing Address: | 2620 Elm Hill Pike, NASHVILLE |
State: | TN |
Postal Code: | 372143108 |
Phone Number: | 6154254200 |
Fax Number: | 6154254201 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3007648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |