Provider Demographics
NPI:1235389271
Name:BROWN, LACHANDA FELICE (NP-C)
Entity Type:Individual
Prefix:
First Name:LACHANDA
Middle Name:FELICE
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 1:374 COATS DRIVE
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-3147
Mailing Address - Country:US
Mailing Address - Phone:706-886-7562
Mailing Address - Fax:
Practice Address - Street 1:374 COATS DRIVE
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-3147
Practice Address - Country:US
Practice Address - Phone:706-886-7562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN163094363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily