Provider Demographics
NPI:1497542179
Name:BROWN, ANTOINETTE YVONNE (APRN)
Entity type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:YVONNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:DR
Other - First Name:ANTOINETTE
Other - Middle Name:YVONNE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:3331 SW KESSLER DR UNIT 3311
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2292
Mailing Address - Country:US
Mailing Address - Phone:816-786-8161
Mailing Address - Fax:
Practice Address - Street 1:3331 SW KESSLER DR UNIT 3311
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2292
Practice Address - Country:US
Practice Address - Phone:816-786-8161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025011511363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health