Provider Demographics
NPI:1346580628
Name:BROWN, CASSANDRA LEEANN (APRN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LEEANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2028
Mailing Address - Country:US
Mailing Address - Phone:501-280-3100
Mailing Address - Fax:501-280-3314
Practice Address - Street 1:3915 W 8TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2028
Practice Address - Country:US
Practice Address - Phone:501-280-3100
Practice Address - Fax:501-280-3314
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA003865363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health