Provider Demographics
NPI:1710098413
Name:BROWN, SHARON A (MSN, FNP, DCNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSN, FNP, DCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 BATTLEFIELD CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5176
Mailing Address - Country:US
Mailing Address - Phone:706-277-7311
Mailing Address - Fax:706-529-7210
Practice Address - Street 1:101 RIVERSTONE VIS STE 215
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6665
Practice Address - Country:US
Practice Address - Phone:706-946-4227
Practice Address - Fax:706-258-4715
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7937363LF0000X
GARN159128363LF0000X
TNAPN0000007937207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P68393Medicare UPIN
TN3649671Medicare ID - Type Unspecified