Provider Demographics
NPI:1942798483
Name:BROWN, SHERRIE LYNN (DPH)
Entity Type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DEERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-5121
Mailing Address - Country:US
Mailing Address - Phone:731-414-1299
Mailing Address - Fax:
Practice Address - Street 1:2716 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-1560
Practice Address - Country:US
Practice Address - Phone:731-784-0050
Practice Address - Fax:731-784-0059
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist