Provider Demographics
NPI:1952546103
Name:BROWN, KORTNEY MICHELE PARMAN (RD, RN, MS, FNP-C)
Entity Type:Individual
Prefix:
First Name:KORTNEY
Middle Name:MICHELE PARMAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RD, RN, MS, FNP-C
Other - Prefix:
Other - First Name:KORTNEY
Other - Middle Name:
Other - Last Name:PARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, RN, MS, FNP-C
Mailing Address - Street 1:2286 JACKSON ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE FL 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00966421133V00000X
CA826451163W00000X
CA95001051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No163W00000XNursing Service ProvidersRegistered Nurse