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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JOAN ICILDA BROWN

Active

MISS JOAN ICILDA BROWN is a Primary Care Nurse Practitioner healthcare provider located in ELLENWOOD, Georgia. NPI 1912478868 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · ELLENWOOD, GA

Registration Details

NPI Number
1912478868
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2018 (7.6665797130741 yrs)
Last Updated
Dec 17, 2018
Licenses
RN177358 (GA)
RN177358 (GA)

Practice Information

Address
3341 MEADOVISTA DR
ELLENWOOD, GA, 302946638
Browse GA providers · Browse ZIP 30294
Phone
9178438386
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.