Anslei Brown, NP

Individual provider Active NPI Family Nurse Practitioner · Waycross, GA

NPI 1134799000 · NPPES record last updated Jul 1, 2021

Key facts

NPI
1134799000
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN254733 (GA)
Practice address
1720 Old Reynolds St
Waycross, GA 31501-1036
Phone
(912) 283-1359
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN254733 GA Yes

Addresses

Primary practice location

1720 Old Reynolds St
Waycross, GA 31501-1036

Mailing address

1720 Old Reynolds St
Waycross, GA 31501-1036
Phone (912) 283-1359

Other practice location 1

1724A Old Reynolds St
Waycross, GA 31501-1036
Phone (912) 283-1359

Other providers in Waycross, GA

All providers in Waycross, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.