Basic Information
Provider Information
NPI: 1851802201
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: KAREN
MiddleName: MICHELLE
NamePrefix: MRS.
NameSuffix:  
Credential: APRN, AG-PCNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3841 GREEN HILLS VILLAGE DR STE 200
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372152691
CountryCode: US
TelephoneNumber: 6159362000
FaxNumber:  
Practice Location
Address1: 1500 21ST AVE S STE 1506
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372123137
CountryCode: US
TelephoneNumber: 6153227417
FaxNumber: 6153227596
Other Information
ProviderEnumerationDate: 10/12/2017
LastUpdateDate: 03/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600XAPN23363TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LA2200X23363TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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