Provider Demographics
NPI:1659731644
Name:BROWN, NICOLE ASHLEY (CNP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ASHLEY
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-3919
Mailing Address - Country:US
Mailing Address - Phone:740-353-8863
Mailing Address - Fax:740-354-7854
Practice Address - Street 1:605 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3919
Practice Address - Country:US
Practice Address - Phone:740-353-8863
Practice Address - Fax:740-354-7854
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.18798-NP363LF0000X
KY3017232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily