1114271558 NPI number — MRS. COURTNEY PARRISH BROWNING APRN, PNP-BC

Table of content: MRS. COURTNEY PARRISH BROWNING APRN, PNP-BC (NPI 1114271558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114271558 NPI number — MRS. COURTNEY PARRISH BROWNING APRN, PNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWNING
Provider First Name:
COURTNEY
Provider Middle Name:
PARRISH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, PNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PARRISH
Provider Other First Name:
COURTNEY
Provider Other Middle Name:
GAIL
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114271558
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 NEWCOMB AVE
Provider Second Line Business Mailing Address:
SUITE 2C & D
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40456-2725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-256-4148
Provider Business Mailing Address Fax Number:
606-256-7785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 NEWCOMB AVE
Provider Second Line Business Practice Location Address:
SUITE C AND D
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40456-2725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-256-4148
Provider Business Practice Location Address Fax Number:
606-256-7785
Provider Enumeration Date:
11/07/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0200X , with the licence number:  3007773 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7100221540 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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