Individual provider · NPI-1

Gary W. Brown Jr., NP-C

Nurse Practitioner, Primary Care · Tazewell, TN

NPI number1396988762
StatusActive
Last updated in NPPESJun 26, 2024

Details

NPI
1396988762
Entity type
Individual (NPI-1)
Name
Mr. Gary W. Brown Jr.
Credential
NP-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 14, 2009
Certification date
Jun 26, 2024
Last updated
Jun 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care14103TNYes

Practice location

1582 N Broad St
Suite 2
Tazewell, TN 37879-4352

Phone 423-626-0277 · Fax 423-626-0082

Mailing address

1582 N Broad St Ste 2
Tazewell, TN 37879-4385

Phone 423-626-0277 · Fax 423-626-0082

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