Provider Demographics
NPI:1649424201
Name:BROWN, NNP-BC, MARY HELEN
Entity Type:Individual
Prefix:MRS
First Name:MARY HELEN
Middle Name:
Last Name:BROWN, NNP-BC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1954
Mailing Address - Country:US
Mailing Address - Phone:615-342-4660
Mailing Address - Fax:
Practice Address - Street 1:2201 MURPHY AVE STE 207
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1954
Practice Address - Country:US
Practice Address - Phone:615-342-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13765363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal