Provider Demographics
NPI:1346863537
Name:BROWN, SHEILA LOVE (AGNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:LOVE
Last Name:BROWN
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 BILTMORE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-5017
Mailing Address - Country:US
Mailing Address - Phone:910-719-3666
Mailing Address - Fax:888-220-8461
Practice Address - Street 1:125 BILTMORE DR STE 1
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5017
Practice Address - Country:US
Practice Address - Phone:910-719-3666
Practice Address - Fax:888-220-8461
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5013188363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty