Provider Demographics
NPI:1801051453
Name:BROWNE-AVERY, JANET ANGELIQUE (PA-C)
Entity type:Individual
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First Name:JANET
Middle Name:ANGELIQUE
Last Name:BROWNE-AVERY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1009 WINDCROSS CT
Mailing Address - Street 2:STE 101
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2678
Mailing Address - Country:US
Mailing Address - Phone:301-775-0462
Mailing Address - Fax:410-379-3590
Practice Address - Street 1:6095 MARSHALEE DR
Practice Address - Street 2:STE 100
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6053
Practice Address - Country:US
Practice Address - Phone:443-871-1876
Practice Address - Fax:866-515-2777
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2015-07-06
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Provider Licenses
StateLicense IDTaxonomies
DCPA72363A00000X
MDC01426363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant