Provider Demographics
NPI:1821536251
Name:BROWN, HANNAH MARIE MCCLUNG (FNP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE MCCLUNG
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 PAINTED SPINDLE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-8366
Mailing Address - Country:US
Mailing Address - Phone:340-626-6836
Mailing Address - Fax:
Practice Address - Street 1:9053 ESTATE THOMAS
Practice Address - Street 2:SUITE 106
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-777-6423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009265363LF0000X
VIAP13558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily