Provider Demographics
NPI:1285435412
Name:BROWN, EMILY ANNE (AGNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 ASHLEY CROSSING DR APT 3C
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5707
Mailing Address - Country:US
Mailing Address - Phone:513-236-9743
Mailing Address - Fax:
Practice Address - Street 1:3841 LEEDS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-7469
Practice Address - Country:US
Practice Address - Phone:843-529-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29064363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health