Provider Demographics
NPI:1205953379
Name:BROWN, ELLEN H (MS, RN, APRN,BC,)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, RN, APRN,BC,
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:250 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4038
Mailing Address - Country:US
Mailing Address - Phone:508-830-9420
Mailing Address - Fax:508-830-2389
Practice Address - Street 1:275 SANDWICH ST
Practice Address - Street 2:JORDAN ON THE JOB
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2183
Practice Address - Country:US
Practice Address - Phone:508-830-2263
Practice Address - Fax:508-830-2389
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA156444363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care