1740331651 NPI number — MEREDITH ANN BROWN NP-C, CHPN, MSN

Table of content: MEREDITH ANN BROWN NP-C, CHPN, MSN (NPI 1740331651)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740331651 NPI number — MEREDITH ANN BROWN NP-C, CHPN, MSN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
MEREDITH
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP-C, CHPN, MSN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740331651
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 HOSPITAL DR
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
MC KENZIE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38201-1649
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-352-7907
Provider Business Mailing Address Fax Number:
731-352-4459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 HOSPITAL DR
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MC KENZIE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38201-1649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-352-7907
Provider Business Practice Location Address Fax Number:
731-352-4459
Provider Enumeration Date:
01/16/2007

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: 363LA2200X , with the licence number:  APN0000011610 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3380640 . This is a "MEDICAID GROUP" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 33466861 . This is a "CIGNA MEDICARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 139948 . This is a "RN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3380640 . This is a "MEDICARE GROUP" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 11610 . This is a "APN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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