Provider Demographics
NPI:1659179182
Name:BROWN, KEMOY YOLANDA (APRN)
Entity type:Individual
Prefix:
First Name:KEMOY
Middle Name:YOLANDA
Last Name:BROWN
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:KEMOY
Other - Middle Name:YOLANDA
Other - Last Name:GAYLE NEE BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:1130 ISADORE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5786
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 ISADORE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5786
Practice Address - Country:US
Practice Address - Phone:561-809-7032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily