Provider Demographics
NPI:1316359276
Name:BROWN, GINGER (CRNP)
Entity Type:Individual
Prefix:MS
First Name:GINGER
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 INDEPENDENT DR STE A
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-3286
Mailing Address - Country:US
Mailing Address - Phone:256-442-1834
Mailing Address - Fax:877-991-4819
Practice Address - Street 1:190 INDEPENDENT DR STE A
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3286
Practice Address - Country:US
Practice Address - Phone:256-442-1834
Practice Address - Fax:877-991-4819
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-096449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily