Basic Information
Provider Information
NPI: 1922198480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: SHERVONDALONN
MiddleName: RASHONNA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 608 NORRIS AVE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372043708
CountryCode: US
TelephoneNumber: 6153292294
FaxNumber: 6156951483
Practice Location
Address1: 1800 MEDICAL CENTER PKWY
Address2: SUITE 200
City: MURFREESBORO
State: TN
PostalCode: 371292567
CountryCode: US
TelephoneNumber: 6158966800
FaxNumber: 6158958890
Other Information
ProviderEnumerationDate: 10/13/2006
LastUpdateDate: 05/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X44018TNN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0106X44018TNY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

No ID Information.


Home