Provider Demographics
NPI:1285124982
Name:BROWNING, KACI DAWN (APRN)
Entity type:Individual
Prefix:
First Name:KACI
Middle Name:DAWN
Last Name:BROWNING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 S MAPLE TREE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-9277
Mailing Address - Country:US
Mailing Address - Phone:812-387-4000
Mailing Address - Fax:
Practice Address - Street 1:4840 S MAPLE TREE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-9277
Practice Address - Country:US
Practice Address - Phone:812-387-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007982A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily