Provider Demographics
NPI:1164791802
Name:MARSHALL-BROWN, DWONE LATRESS (NP)
Entity Type:Individual
Prefix:
First Name:DWONE
Middle Name:LATRESS
Last Name:MARSHALL-BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DWONE
Other - Middle Name:LATRESS
Other - Last Name:MARSHALL-DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-526-0006
Mailing Address - Fax:225-765-9291
Practice Address - Street 1:5439 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-1712
Practice Address - Country:US
Practice Address - Phone:225-358-4853
Practice Address - Fax:225-358-2350
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily