Provider Demographics
NPI:1023731650
Name:BROWN, ERNAN ADRIANKA (NP)
Entity type:Individual
Prefix:
First Name:ERNAN
Middle Name:ADRIANKA
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERNAN
Other - Middle Name:ADRIANKA
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2600 SW WILLISTON RD APT 1926
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3967
Mailing Address - Country:US
Mailing Address - Phone:352-356-7808
Mailing Address - Fax:
Practice Address - Street 1:4655 SALISBURY RD STE 220
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0959
Practice Address - Country:US
Practice Address - Phone:904-570-9404
Practice Address - Fax:904-900-2224
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAG07220009363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care