Provider Demographics
NPI:1720762461
Name:BROWN, CORTNEY SMITH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:SMITH
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 S HULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-2202
Mailing Address - Country:US
Mailing Address - Phone:817-346-5960
Mailing Address - Fax:817-356-5961
Practice Address - Street 1:5531 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2202
Practice Address - Country:US
Practice Address - Phone:817-346-5960
Practice Address - Fax:817-356-5961
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-13
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1124594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty