Provider Demographics
NPI:1154747483
Name:BROWN, SARAH LYNN (CNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CROSS POINTE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6696
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:614-577-1427
Practice Address - Street 1:465A BIELBY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1058
Practice Address - Country:US
Practice Address - Phone:812-577-3137
Practice Address - Fax:812-577-3202
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005370A363LF0000X, 363LF0000X
OHCOA.15166.NP363LF0000X
OHCOA 15166 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0129476Medicaid
IN201284040Medicaid
OHH361800Medicare PIN
OH0129476Medicaid