Provider Demographics
NPI:1285394585
Name:HOWARD-BROWN, MELODY (LPN)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:HOWARD-BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 URSULA LN
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-8843
Mailing Address - Country:US
Mailing Address - Phone:850-485-3708
Mailing Address - Fax:
Practice Address - Street 1:2414 URSULA LN
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-8843
Practice Address - Country:US
Practice Address - Phone:850-485-3708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5173457164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse