Provider Demographics
NPI:1407367683
Name:BROWN, ROXANNE L (APN)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:ROXANNE
Other - Middle Name:L
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1210 BRIARVILLE RD BLDG F
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5136
Mailing Address - Country:US
Mailing Address - Phone:615-860-0704
Mailing Address - Fax:615-860-8235
Practice Address - Street 1:1210 BRIARVILLE RD BLDG F
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5136
Practice Address - Country:US
Practice Address - Phone:615-860-0704
Practice Address - Fax:615-860-8235
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7525207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty