EBONY NICOLE BROWN BA EXP PSYCHOLOGY RN NPI 1659430775

NPI Information

NPI: 1659430775
Provider Name: EBONY NICOLE BROWN, BA EXP PSYCHOLOGY RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
250 DEWEY AVE
SPARTANBURG, SC
ZIP 29303
Phone: (864) 585-0366
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Ebony Nicole Brown, BA EXP PSYCHOLOGY RN is a psychiatric/mental health registered nurse in Spartanburg, SC. Ebony Nicole Brown, BA EXP PSYCHOLOGY RN NPI is 1659430775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 DEWEY AVE
SPARTANBURG, SC
ZIP 29303-009
Phone: (864) 585-0366
Fax: (864) 585-9208

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	106396	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1427168889	MEDICAID	SOUTH CAROLINA
2	3335	MEDICARE UPIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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