Provider Demographics
NPI:1245432186
Name:BROWN, NORA JEANNETTE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:JEANNETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:NORA
Other - Middle Name:JEANNETTE
Other - Last Name:NEWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:4304 FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-2514
Mailing Address - Country:US
Mailing Address - Phone:903-927-2206
Mailing Address - Fax:
Practice Address - Street 1:4304 FOREST TRL
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-2514
Practice Address - Country:US
Practice Address - Phone:903-927-2206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI594164W00000X
TX192410164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered164W00000XNursing Service ProvidersLicensed Practical Nurse
Not Answered164X00000XNursing Service ProvidersLicensed Vocational Nurse