Provider Demographics
NPI:1326289034
Name:BROWN TAFT, JANELLE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:BROWN TAFT
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BRENTWOOD CENTER LN N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1710
Mailing Address - Country:US
Mailing Address - Phone:252-991-5382
Mailing Address - Fax:252-991-5381
Practice Address - Street 1:110 BRENTWOOD CENTER LN N
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1710
Practice Address - Country:US
Practice Address - Phone:252-991-5382
Practice Address - Fax:252-991-5381
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5004688363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily