Provider Demographics
NPI:1659071702
Name:SMITH-BROWN, CLAUDETTE E (FNP)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:E
Last Name:SMITH-BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 CAIRNESFORD WAY
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-8064
Mailing Address - Country:US
Mailing Address - Phone:478-251-2082
Mailing Address - Fax:
Practice Address - Street 1:7609 CAIRNESFORD WAY
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-8064
Practice Address - Country:US
Practice Address - Phone:478-251-2082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily