Basic Information
| Provider Information | |||||||||
| NPI: | 1114271558 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWNING | ||||||||
| FirstName: | COURTNEY | ||||||||
| MiddleName: | PARRISH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRN, PNP-BC | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PARRISH | ||||||||
| OtherFirstName: | COURTNEY | ||||||||
| OtherMiddleName: | GAIL | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 140 NEWCOMB AVE | ||||||||
| Address2: | SUITE 2C & D | ||||||||
| City: | MOUNT VERNON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 404562725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6062564148 | ||||||||
| FaxNumber: | 6062567785 | ||||||||
| Practice Location | |||||||||
| Address1: | 140 NEWCOMB AVE | ||||||||
| Address2: | SUITE C AND D | ||||||||
| City: | MOUNT VERNON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 404562725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6062564148 | ||||||||
| FaxNumber: | 6062567785 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2012 | ||||||||
| LastUpdateDate: | 02/01/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 3007773 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 7100221540 | 05 | KY | MEDICAID |