Gwendolyn Clark Brown, FNP
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
Details
- NPI
- 1497835722
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Clark Brown
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Certification date
- Jul 13, 2022
- Last updated
- Jul 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP112485 | TX | Yes |
| 363L00000X | Nurse Practitioner | AP112485 | TX |
Practice location
10425 N Central ExpyDallas, TX 75231-2208
Phone 214-361-2025 · Fax 214-361-2028
Mailing address
Po Box 911230Dallas, TX 75391-1230
Phone 729-978-0009 · Fax 972-234-0813
Other practice locations
Addison, TX 75001-7114
Phone 972-572-6101 · Fax 972-572-6104
Dallas, TX 75240
Phone 972-715-5000 · Fax 972-715-9976
Dallas, TX 75231-0806
Phone 972-572-6101 · Fax 972-572-6104
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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