Provider Demographics
NPI:1154795177
Name:BROWN, CORTNEY (CRNP)
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 TEMPLE AVE N STE 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:AL
Mailing Address - Zip Code:35555-1314
Mailing Address - Country:US
Mailing Address - Phone:205-932-1421
Mailing Address - Fax:205-932-1428
Practice Address - Street 1:1653 TEMPLE AVE N STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:AL
Practice Address - Zip Code:35555-1314
Practice Address - Country:US
Practice Address - Phone:205-932-1421
Practice Address - Fax:205-932-1428
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-101781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily