Basic Information
Provider Information
NPI: 1427532167
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: BILLIE
MiddleName: SUE
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 785 5TH AVE STE 3
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014232
CountryCode: US
TelephoneNumber: 7172639555
FaxNumber:  
Practice Location
Address1: 601 NORLAND AVE
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014235
CountryCode: US
TelephoneNumber: 7172641600
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/19/2018
LastUpdateDate: 03/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XSP019229PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
363L00000XSP019229PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2100XSP019229PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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