Individual provider · NPI-1

William Jude Brown, PhD, FNP

Nurse Practitioner, Family · Fort Benning, GA

NPI number1205810074
StatusActive
Last updated in NPPESJun 24, 2025

Details

NPI
1205810074
Entity type
Individual (NPI-1)
Name
William Jude Brown
Credential
PhD, FNP
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2005
Certification date
Jun 24, 2025
Last updated
Jun 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family229304MAYes

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 762-408-0311

Mailing address

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 762-408-0311

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