Provider Demographics
NPI:1366618373
Name:BROWN, PAMELA LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-6112
Mailing Address - Country:US
Mailing Address - Phone:478-559-3154
Mailing Address - Fax:478-559-3150
Practice Address - Street 1:820 2ND AVE
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-6112
Practice Address - Country:US
Practice Address - Phone:478-559-3154
Practice Address - Fax:478-559-3150
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN133626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily