Provider Demographics
NPI:1033562087
Name:BROWN, AMBER L (NP-C)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 WATERHILL DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-3492
Mailing Address - Country:US
Mailing Address - Phone:706-587-3769
Mailing Address - Fax:
Practice Address - Street 1:4100 WOODRUFF RD STE H200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6876
Practice Address - Country:US
Practice Address - Phone:706-967-9378
Practice Address - Fax:833-448-3172
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily