Provider Demographics
NPI:1568959427
Name:BROWN, SARAH MARIE (APRN, NP-C, RNFA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN, NP-C, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 E HAWKINS PKWY
Mailing Address - Street 2:7209
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-8145
Mailing Address - Country:US
Mailing Address - Phone:903-399-5807
Mailing Address - Fax:
Practice Address - Street 1:401 E FRONT ST STE 120
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8250
Practice Address - Country:US
Practice Address - Phone:903-646-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136908363LF0000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant