Provider Demographics
NPI:1003403940
Name:BROWN, ABBY ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 HUFF RD NW UNIT 2303
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-4657
Mailing Address - Country:US
Mailing Address - Phone:706-604-6551
Mailing Address - Fax:
Practice Address - Street 1:400 WALMART WAY STE F
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-0829
Practice Address - Country:US
Practice Address - Phone:706-867-7666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN289853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily