Provider Demographics
NPI:1003940222
Name:BROWN, JOSEPHA LOUISE (RNP)
Entity Type:Individual
Prefix:
First Name:JOSEPHA
Middle Name:LOUISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:BROAD TOP
Mailing Address - State:PA
Mailing Address - Zip Code:16621-0127
Mailing Address - Country:US
Mailing Address - Phone:814-635-2916
Mailing Address - Fax:
Practice Address - Street 1:4133 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:BROAD TOP
Practice Address - State:PA
Practice Address - Zip Code:16621
Practice Address - Country:US
Practice Address - Phone:814-635-2916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP000720C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health