| Doctor Name: | MR. TRAVIS JAMES BROWN |
| NPI Number: | 1306250279 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | 2014018614 |
| Business Practice Address: | 29934 July Rd La Plata, MO - 635493129 |
| Business Phone Number: | 6603327676 |
| Business Fax Number: | |
| Mailing Address: | 1611 S Baltimore St, KIRKSVILLE |
| State: | MO |
| Postal Code: | 635014536 |
| Phone Number: | 6603327676 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2014 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2014018614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |