Provider Demographics
NPI:1770023707
Name:BROWN, YOLANDA C (FNP)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:YOLANDA
Other - Middle Name:RENEE
Other - Last Name:CLEMONS- BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:312 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1622
Mailing Address - Country:US
Mailing Address - Phone:315-254-5056
Mailing Address - Fax:
Practice Address - Street 1:312 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1622
Practice Address - Country:US
Practice Address - Phone:315-254-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily