Provider Demographics
NPI:1538685870
Name:BROWN, JULIANNA SMITH (FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:SMITH
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:WHITFIELD
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:309 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3040
Practice Address - Country:US
Practice Address - Phone:864-850-2663
Practice Address - Fax:864-522-5785
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP6337OtherARCIS HEALTHCARE, LLC GROUP MEDICAID
SCNP4698Medicaid