Provider Demographics
NPI:1568732899
Name:BROWN, AVRIL JANIS ANGELA (RN)
Entity Type:Individual
Prefix:MS
First Name:AVRIL
Middle Name:JANIS ANGELA
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 SWEET LAUREL RUN
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5555
Mailing Address - Country:US
Mailing Address - Phone:678-983-1890
Mailing Address - Fax:
Practice Address - Street 1:6401 SWEET LAUREL RUN
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-5555
Practice Address - Country:US
Practice Address - Phone:678-983-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN190258163W00000X
NY334284-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN190258OtherSTATE REGISTERED NURSE LICENSE
NY334284-1OtherSTATE REGISTERED NURSE LICENSE