Provider Demographics
NPI:1508508243
Name:BROWN, BRIANNA DAWN (RN,BSN)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:DAWN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:DAWN
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:44 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-2034
Mailing Address - Country:US
Mailing Address - Phone:401-824-9498
Mailing Address - Fax:
Practice Address - Street 1:44 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-2034
Practice Address - Country:US
Practice Address - Phone:401-824-9498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019004619163WC0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine