Provider Demographics
NPI:1568850147
Name:BROWN, SARA ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2400 LUCY LEE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2429
Mailing Address - Country:US
Mailing Address - Phone:573-686-1144
Mailing Address - Fax:573-686-3312
Practice Address - Street 1:2400 LUCY LEE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2429
Practice Address - Country:US
Practice Address - Phone:573-686-1144
Practice Address - Fax:573-686-3312
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014044251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily