Basic Information
| Provider Information | |||||||||
| NPI: | 1548901069 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN-PARKER | ||||||||
| FirstName: | PATRICE | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 WINTER RED WAY | ||||||||
| Address2: | |||||||||
| City: | BENSON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275048585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106516072 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4600 CUMBERLAND RD | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283062412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104291690 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2022 | ||||||||
| LastUpdateDate: | 04/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 5016016 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.