Provider Demographics
NPI:1326836446
Name:BROWN, KATELYN (FNP)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:BROWN
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 BROCK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LEOMA
Mailing Address - State:TN
Mailing Address - Zip Code:38468-5069
Mailing Address - Country:US
Mailing Address - Phone:931-223-7062
Mailing Address - Fax:
Practice Address - Street 1:227 BROCK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:LEOMA
Practice Address - State:TN
Practice Address - Zip Code:38468-5069
Practice Address - Country:US
Practice Address - Phone:931-223-7062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily