Provider Demographics
NPI:1841925864
Name:BROWN, CHRISTANNA MARIE (BSN, RNFA, CNOR)
Entity type:Individual
Prefix:MRS
First Name:CHRISTANNA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:BSN, RNFA, CNOR
Other - Prefix:
Other - First Name:CHRISTANNA
Other - Middle Name:MARIE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1307 E MCCORD ST
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:IL
Mailing Address - Zip Code:62801-3610
Mailing Address - Country:US
Mailing Address - Phone:618-367-6131
Mailing Address - Fax:
Practice Address - Street 1:1307 E MCCORD ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:IL
Practice Address - Zip Code:62801-3610
Practice Address - Country:US
Practice Address - Phone:618-367-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041402399163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant