Individual provider · NPI-1

Lacey Jo Brown

Nurse Practitioner, Family · Cordele, GA

NPI number1851196810
StatusActive
Last updated in NPPESNov 11, 2025

Details

NPI
1851196810
Entity type
Individual (NPI-1)
Name
Lacey Jo Brown
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2025
Certification date
Nov 11, 2025
Last updated
Nov 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN-NP259107GAYes

Practice location

711 E 16th Ave
Cordele, GA 31015-1513

Phone 229-271-9330 · Fax 229-271-9245

Mailing address

711 E 16th Ave
Cordele, GA 31015-1513

Phone 229-271-9330 · Fax 229-271-9245

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